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General NPI Number Information
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NPI Number | 1639194020
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Entity Type | Individual
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Provider Name | DARRYL PENNINGTON
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 8441 SW STATE RD 200
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City | OCALA
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State | FL
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Zip | 34481
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Country | US
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Telephone | 800-237-4635
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Fax |
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Provider Business Mailing Address
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Address Line | 8441 SW HIGHWAY 200 SUITE 113
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City | OCALA
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State | FL
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Zip | 34481-9661
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Country | US
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Telephone | 352-237-4635
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Fax | 352-861-4646
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS2879
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License Number State | FL
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