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General NPI Number Information
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NPI Number | 1679888572
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Entity Type | Organization
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Legal Business Name | ROYAL PALM HEARING AID CENTER OF DELMAR INC
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Dates
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Enumeration Date | 08/16/2010
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Last Update Date | 08/16/2010
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Provider Practice Location Address
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Address Line | 7072 BERACASA WAY
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City | BOCA RATON
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State | FL
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Zip | 33433-3447
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Country | US
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Telephone | 561-368-7600
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Fax |
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Provider Business Mailing Address
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Address Line | 7072 BERACASA WAY
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City | BOCA RATON
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State | FL
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Zip | 33433-3447
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Country | US
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Telephone | 561-368-7600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELVIN JULIUS SORKOWITZ
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Credential | AU.D
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Telephone | 561-368-7600
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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 | AY227
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License Number State | FL
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