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General NPI Number Information
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NPI Number | 1568205243
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Entity Type | Organization
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Legal Business Name | SQC HEARING LLC
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Dates
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Enumeration Date | 06/18/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 4040 UPPER CREEK DR STE 105
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6844
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Country | US
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Telephone | 813-970-3922
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 UPPER CREEK DR STE 105
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6844
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Country | US
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Telephone | 813-922-2119
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Fax | 813-804-3845
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Authorized Official
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Title or Position | CEO
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Name | DR. ALAINA D BECKER
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Credential | AU.D.
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Telephone | 813-922-2119
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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 |
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License Number State |
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