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General NPI Number Information
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NPI Number | 1699979997
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Entity Type | Organization
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Legal Business Name | ENTERPRISES 101, INC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 2800 ZELDA RD SUITE 200-4
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City | MONTGOMERY
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State | AL
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Zip | 36106-3700
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Country | US
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Telephone | 334-213-0300
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Fax | 334-213-0303
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Provider Business Mailing Address
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Address Line | 2800 ZELDA RD SUITE 200-4
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City | MONTGOMERY
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State | AL
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Zip | 36106-3700
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Country | US
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Telephone | 334-213-0300
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Fax | 334-213-0303
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Authorized Official
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Title or Position | CEO, AUDIOPROSTHOLOGIST
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Name | MR. SOLOMON MORRIS ROUSSO
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Credential | BC-HIS, ACA
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Telephone | 334-213-0300
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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 | 4037
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License Number State | AL
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