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General NPI Number Information
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NPI Number | 1639447600
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Entity Type | Organization
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Legal Business Name | ATLANTIC HEARING CENTERS, INC
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Dates
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Enumeration Date | 12/06/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 10400 CONNECTICUT AVE SUITE 510
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City | KENSINGTON
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State | MD
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Zip | 20895-3910
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Country | US
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Telephone | 301-933-9377
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Fax | 301-933-8755
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Provider Business Mailing Address
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Address Line | 10400 CONNECTICUT AVE SUITE 510
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City | KENSINGTON
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State | MD
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Zip | 20895-3910
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Country | US
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Telephone | 301-933-9377
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Fax | 301-933-8755
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Authorized Official
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Title or Position | HEARING AID DISPENSER
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Name | RICHARD BRISBANE
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Credential | HIS
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Telephone | 301-933-9377
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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 | 2421
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License Number State | MD
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