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General NPI Number Information
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NPI Number | 1548363617
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Entity Type | Individual
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Provider Name | HAROLD R. PERGLER MCD, FAAA, CCC-A
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Gender | Male
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 425 MEDICAL DR SUITE 200
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City | BOUNTIFUL
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State | UT
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Zip | 84010-4945
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Country | US
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Telephone | 801-295-9644
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Fax | 801-299-1498
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Provider Business Mailing Address
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Address Line | 425 MEDICAL DR SUITE 200
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City | BOUNTIFUL
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State | UT
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Zip | 84010-4945
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Country | US
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Telephone | 801-295-9644
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Fax | 801-299-1498
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 107744-4101
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License Number State | UT
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