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General NPI Number Information
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NPI Number | 1548508617
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Entity Type | Organization
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Legal Business Name | HEARING HEALTHCARE OF VIRGINIA LLC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 04/02/2013
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Provider Practice Location Address
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Address Line | 1534 JEFFERSON HWY
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City | FISHERSVILLE
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State | VA
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Zip | 22939
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Country | US
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Telephone | 540-943-0007
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 JEFFERSON HWY
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City | FISHERSVILLE
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State | VA
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Zip | 22939
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Country | US
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Telephone | 540-943-0007
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. VANESSA LYNN POGREBA
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Credential |
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Telephone | 540-943-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2201001497
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License Number State | VA
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