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General NPI Number Information
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NPI Number | 1639703226
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Entity Type | Individual
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Provider Name | WILLIAM HARTMAN HEARING AID DISPENSE
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Gender | Male
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Dates
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Enumeration Date | 02/24/2020
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 20053 SUMMIT VIEW BLVD STE 3
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City | WATERTOWN
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State | NY
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Zip | 13601-2268
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Country | US
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Telephone | 315-783-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 926 GOTHAM ST
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City | WATERTOWN
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State | NY
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Zip | 13601-4142
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Country | US
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Telephone | 315-783-8006
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Fax |
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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 | 15000006650
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License Number State | NY
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