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General NPI Number Information
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NPI Number | 1679942437
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Entity Type | Individual
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Provider Name | WILLIAM JAMES ROACH AU.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2015
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 1005 N FEDERAL HWY
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City | FT LAUDERDALE
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State | FL
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Zip | 33304-1422
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Country | US
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Telephone | 954-271-8006
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Fax | 954-271-8022
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Provider Business Mailing Address
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Address Line | 1005 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-1422
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Country | US
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Telephone | 549-271-8006
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Fax | 954-271-8022
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AY1981
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY1981
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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