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General NPI Number Information
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NPI Number | 1730328105
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Entity Type | Organization
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Legal Business Name | SCOTT HEARING AID INC
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Dates
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Enumeration Date | 02/09/2009
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 1900 CRESCENT DR
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City | ROCKPORT
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State | TX
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Zip | 78382-3620
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Country | US
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Telephone | 361-727-1127
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Fax | 361-727-0429
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Provider Business Mailing Address
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Address Line | 1900 CRESCENT DR
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City | ROCKPORT
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State | TX
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Zip | 78382-3620
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Country | US
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Telephone | 361-727-1127
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Fax | 361-727-0429
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Authorized Official
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Title or Position | OWNER
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Name | KINGSBURY SCOTT
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Credential | HIS
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Telephone | 361-727-1127
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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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