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General NPI Number Information
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NPI Number | 1679243117
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Entity Type | Organization
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Legal Business Name | 1ST CHOICE HEARING BENEFITS LLC
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 45 VALENCIA ST
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-2834
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Country | US
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Telephone | 888-614-0044
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Fax | 866-476-0861
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Provider Business Mailing Address
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Address Line | PO BOX 2345
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City | PONTE VEDRA
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State | FL
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Zip | 32004-2345
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Country | US
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Telephone | 888-614-0044
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Fax | 866-476-0861
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | AMBER JACKSON
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Credential |
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Telephone | 888-614-0044
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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 |
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License Number State |
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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 |
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