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General NPI Number Information
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NPI Number | 1598424202
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Entity Type | Organization
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Legal Business Name | HEARCARE AUDIOLOGY
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 4135 SHELBYVILLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40207-3203
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Country | US
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Telephone | 502-890-3921
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Fax | 502-890-3923
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Provider Business Mailing Address
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Address Line | 4135 SHELBYVILLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40207-3203
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Country | US
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Telephone | 502-890-3921
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Fax | 502-890-3923
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MARY E CARRICO
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Credential | AU.D.
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Telephone | 502-890-3921
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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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