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General NPI Number Information
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NPI Number | 1568175073
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Entity Type | Individual
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Provider Name | PEYTON MARIE LAMONICA
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Gender | Female
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 1603 S BROAD ST STE A
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City | SCOTTSBORO
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State | AL
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Zip | 35768-2600
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Country | US
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Telephone | 256-912-0376
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Fax |
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Provider Business Mailing Address
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Address Line | 58 COUNTY ROAD 552
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City | HOLLYWOOD
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State | AL
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Zip | 35752
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Country | US
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Telephone | 256-605-5468
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Fax |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2346
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License Number State | AL
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