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General NPI Number Information
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NPI Number | 1699582965
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Entity Type | Organization
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Legal Business Name | INVERNESS TINNITUS CENTER
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1300 HWY 41 N SUITE 2, BUILDING B
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City | INVERNESS
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State | FL
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Zip | 34450
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Country | US
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Telephone | 352-234-3858
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Fax |
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Provider Business Mailing Address
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Address Line | 311 N CITRUS AVE
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City | INVERNESS
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State | FL
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Zip | 34450-4160
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Country | US
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Telephone | 813-446-9531
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | JESSICA VILENDRER
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Credential | AU.D.
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Telephone | 352-234-3858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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