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General NPI Number Information
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NPI Number | 1598256786
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Entity Type | Organization
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Legal Business Name | STATE OF THE ART HEARING CENTERS OF FLORIDA LLC
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Dates
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Enumeration Date | 05/23/2018
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 3013 DEL PRADO BLVD S STE 7A
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City | CAPE CORAL
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State | FL
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Zip | 33904-7238
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Country | US
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Telephone | 239-257-1204
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Fax |
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Provider Business Mailing Address
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Address Line | 3013 DEL PRADO BLVD S STE 7A
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City | CAPE CORAL
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State | FL
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Zip | 33904-7238
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Country | US
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Telephone | 239-257-1204
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Fax |
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Authorized Official
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Title or Position | HEARING AID SPECIALIST/PARTNER
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Name | MR. FRANK P CASDIA JR.
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Credential | HAS
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Telephone | 239-257-1204
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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 | AS5345
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License Number State | FL
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