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General NPI Number Information
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NPI Number | 1699014993
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Entity Type | Organization
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Legal Business Name | MEDX HEARING CENTER
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 4665 W ATLANTIC AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-3800
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Country | US
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Telephone | 561-638-4733
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Fax | 561-638-4734
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Provider Business Mailing Address
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Address Line | 4665 W ATLANTIC AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-3800
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Country | US
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Telephone | 561-638-4733
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Fax | 561-638-4734
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. MARK A FORSYTH
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Credential | BCHIS
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Telephone | 561-638-4733
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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 |
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License Number State |
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