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General NPI Number Information
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NPI Number | 1649375932
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE HEARING CENTER INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 243 A NEFF AVENUE
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City | HARRISONBURG
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State | VA
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Zip | 22801-3482
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Country | US
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Telephone | 540-432-0071
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Fax | 540-432-6079
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Provider Business Mailing Address
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Address Line | 243 A NEFF AVENUE
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City | HARRISONBURG
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State | VA
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Zip | 22801-3482
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Country | US
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Telephone | 540-432-0071
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Fax | 540-432-6079
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Authorized Official
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Title or Position | OWNER PRESIDENT AUDIOLOGIST
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Name | MRS. REGINA STOPHER DRIVER
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Credential | MED CCC A
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Telephone | 540-432-0071
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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 |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | VA
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