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General NPI Number Information
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NPI Number | 1568267607
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Entity Type | Organization
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Legal Business Name | MIATA MOBILE HEARING AIDS LLP
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 1303 DALLAS CHERRYVILLE HWY
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City | DALLAS
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State | NC
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Zip | 28034-8801
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Country | US
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Telephone | 704-860-7795
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Fax |
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Provider Business Mailing Address
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Address Line | 1718 FAIRFIELD DR
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City | GASTONIA
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State | NC
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Zip | 28054-5172
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Country | US
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Telephone | 704-860-7795
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDWARD EUGENE GRUBBS JR.
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Credential | HEARING AID SPEC
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Telephone | 704-860-7795
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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