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General NPI Number Information
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NPI Number | 1689085136
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Entity Type | Organization
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Legal Business Name | CVC INC
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Dates
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Enumeration Date | 05/17/2014
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Last Update Date | 05/17/2014
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Provider Practice Location Address
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Address Line | 5415 SUGARLOAF PKWY SUITE 1103
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-7832
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Country | US
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Telephone | 678-226-4322
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Fax | 678-226-4323
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Provider Business Mailing Address
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Address Line | 5415 SUGARLOAF PKWY SUITE 1103
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-7832
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Country | US
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Telephone | 678-226-4322
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Fax | 678-226-4323
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER VINCENT CAMPELLONE
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Credential | HIS;HHCP:SMHP
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Telephone | 678-226-4322
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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 | 0000859
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 0000859
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License Number State | GA
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