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General NPI Number Information
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NPI Number | 1619105681
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Entity Type | Organization
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Legal Business Name | A & E HEARING INC.
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 06/29/2009
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Provider Practice Location Address
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Address Line | 610 E OLYMPIA AVE STE 200
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City | PUNTA GORDA
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State | FL
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Zip | 33950-3875
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Country | US
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Telephone | 941-639-3232
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Fax | 941-639-0379
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Provider Business Mailing Address
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Address Line | 610 E OLYMPIA AVE STE 200
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City | PUNTA GORDA
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State | FL
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Zip | 33950-3875
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Country | US
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Telephone | 941-639-3232
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Fax | 941-639-0379
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Authorized Official
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Title or Position | OWNER
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Name | MS. EMILY JOY KOUDELKA
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Credential |
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Telephone | 941-639-3232
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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 | AS 4027
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License Number State | FL
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