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General NPI Number Information
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NPI Number | 1700509395
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Entity Type | Organization
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Legal Business Name | SOUTHEAST HEARING PARTNERS, LLC
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 8817 BELAIR RD STE 105
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City | NOTTINGHAM
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State | MD
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Zip | 21236-2445
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Country | US
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Telephone | 410-444-4420
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Fax | 561-299-5438
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Provider Business Mailing Address
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Address Line | 851 BROKEN SOUND PKWY NW STE 120
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City | BOCA RATON
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State | FL
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Zip | 33487-3638
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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 | CORPORATE INSURANCE MANAGER
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Name | LEAH MANOR
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Credential |
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Telephone | 561-367-1623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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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 |
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License Number State |
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