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General NPI Number Information
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NPI Number | 1548324148
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Entity Type | Organization
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Legal Business Name | BEACH HEARING
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 337 EDWIN DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4560
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Country | US
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Telephone | 757-499-9844
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Fax | 757-499-1460
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Provider Business Mailing Address
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Address Line | 337 EDWIN DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-4560
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Country | US
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Telephone | 757-499-9844
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Fax | 757-499-1460
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Authorized Official
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Title or Position | OWNER
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Name | MS. PAMELA SUE SMITH
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Credential |
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Telephone | 757-499-9844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 2101001551
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License Number State | VA
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