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General NPI Number Information
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NPI Number | 1629202239
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Entity Type | Organization
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Legal Business Name | LOWCOUNTRY BALANCE & HEARING, LLC
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 874 ORLEANS RD SUITE 1
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City | CHARLESTON
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State | SC
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Zip | 29407-4857
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Country | US
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Telephone | 843-819-7455
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Fax |
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Provider Business Mailing Address
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Address Line | 874 ORLEANS RD SUITE 1
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City | CHARLESTON
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State | SC
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Zip | 29407-4857
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN EVERETT KING III
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Credential | PH.D.
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Telephone | 843-819-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 3421
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License Number State | SC
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