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General NPI Number Information
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NPI Number | 1598124224
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Entity Type | Organization
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Legal Business Name | BIG SKY INVESTMENT GROUP
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 113 W WALNUT ST
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City | HILL CITY
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State | KS
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Zip | 67642-1753
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Country | US
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Telephone | 785-214-0355
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 HENDRICKS ST
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City | HUTCHINSON
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State | KS
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Zip | 67502-2125
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Country | US
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Telephone | 785-214-0355
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Fax |
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Authorized Official
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Title or Position | LICENSED HEARING SPECIALIST
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Name | MR. MATTHEW RYAN BARNETT
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Credential |
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Telephone | 785-214-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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