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General NPI Number Information
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NPI Number | 1578121695
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Entity Type | Individual
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Provider Name | DENA BARTON
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Gender | Female
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 971 BUTTERNUT DR STE B
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City | HOLLAND
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State | MI
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Zip | 49424-1575
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Country | US
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Telephone | 616-399-8600
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Fax | 616-399-8680
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Provider Business Mailing Address
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Address Line | 115 ROUTE 46 STE G51
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City | MOUNTAIN LAKES
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State | NJ
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Zip | 07046-1676
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Country | US
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Telephone | 973-588-7266
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Fax | 973-588-7268
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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 |
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License Number State |
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