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General NPI Number Information
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NPI Number | 1710107354
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Entity Type | Organization
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Legal Business Name | ADVANCED HEARING CARE PC
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4100 SE ADAMS RD SUITE C106
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City | BARTLESVILLE
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State | OK
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Zip | 74006-8437
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Country | US
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Telephone | 918-333-9992
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Fax | 918-333-9996
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Provider Business Mailing Address
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Address Line | 4100 SE ADAMS RD SUITE C106
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City | BARTLESVILLE
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State | OK
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Zip | 74006-8437
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Country | US
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Telephone | 918-333-9992
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Fax | 918-333-9996
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. STEPHANIE R MOORE
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Credential | AUD
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Telephone | 918-333-9992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | 190
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License Number State | OK
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