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General NPI Number Information
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NPI Number | 1689085581
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Entity Type | Organization
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Legal Business Name | FNM ENTERPRISES, INC.
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 4822 EVERHARD RD NW
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City | CANTON
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State | OH
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Zip | 44718-2413
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Country | US
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Telephone | 234-401-9248
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Fax |
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Provider Business Mailing Address
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Address Line | 6531 TORINGTON DR
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City | MEDINA
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State | OH
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Zip | 44256-6565
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. FRANK RICHARD GRAZIANO
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Credential |
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Telephone | 330-461-3132
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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 | 02230087
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License Number State | OH
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