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General NPI Number Information
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NPI Number | 1669724191
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Entity Type | Organization
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Legal Business Name | SMITH HEARING HEALTHCARE, PLLC
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 3400 NEW HARTFORD RD SUITE C
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City | OWENSBORO
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State | KY
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Zip | 42303-1705
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Country | US
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Telephone | 270-683-1600
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Fax | 270-683-1683
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Provider Business Mailing Address
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Address Line | 3400 NEW HARTFORD RD SUITE C
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City | OWENSBORO
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State | KY
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Zip | 42303-1705
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Country | US
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Telephone | 270-683-1600
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Fax | 270-683-1683
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MRS. V SUZANNE SMITH
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Credential | AUD
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Telephone | 270-683-1600
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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 | 0337
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License Number State | KY
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