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NPI 1639183585

NPI 1639183585 : ROBERT MOORE HEARING AID CENTER, DBA BELTONE : SOMERSET, KY

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General NPI Number Information
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    NPI Number           |    1639183585
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT MOORE HEARING AID CENTER, DBA BELTONE 
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Dates
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    Enumeration Date     |    07/28/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    409 OGDEN ST 
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    City                 |    SOMERSET
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    State                |    KY
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    Zip                  |    42501-1723
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    Country              |    US
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    Telephone            |    606-679-1965
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    Fax                  |    606-678-8465
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Provider Business Mailing Address
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    Address Line         |    PO BOX 48 
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    City                 |    SOMERSET
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    State                |    KY
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    Zip                  |    42502-0048
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    Country              |    US
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    Telephone            |    606-679-1965
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    Fax                  |    606-678-8465
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Authorized Official
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    Title or Position    |    INSURANCE CLERK
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    Name                 |    MRS. BEULAH  JACKSON 
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    Credential           |    
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    Telephone            |    606-679-1965
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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       |    0242
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    1142
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    621
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    589
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    License Number State |    TN
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Taxonomy #5
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    2101
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    License Number State |    VA
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Taxonomy #6
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    188
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    License Number State |    KY
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