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General NPI Number Information
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NPI Number | 1619161254
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Entity Type | Organization
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Legal Business Name | SOUTH COUNTY HEARING SERVICES, CORP
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 06/16/2014
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Provider Practice Location Address
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Address Line | 360 KINGSTOWN RD SUITE 201
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-789-1906
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Fax | 401-789-1929
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Provider Business Mailing Address
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Address Line | 360 KINGSTOWN RD UNIT 201
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City | NARRAGANSETT
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State | RI
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Zip | 02882-3239
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Country | US
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Telephone | 401-789-1906
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Fax | 401-789-1929
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTINE LYNN STEWART
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Credential | MS
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Telephone | 401-789-1906
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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 | AUD134
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License Number State | RI
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