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General NPI Number Information
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NPI Number | 1619616018
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Entity Type | Organization
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Legal Business Name | EDWARD MARSHALL INC
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 1065 SUNCREST TOWN CENTRE DR
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City | MORGANTOWN
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State | WV
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Zip | 26505-1875
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Country | US
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Telephone | 304-599-3959
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E TABERNACLE ST STE 201
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City | ST GEORGE
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State | UT
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Zip | 84770-7129
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Country | US
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Telephone | 888-572-8389
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Fax | 262-257-9921
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | TRAVIS TOPHAM
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Credential |
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Telephone | 888-572-8389
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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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Taxonomy #2
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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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