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General NPI Number Information
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NPI Number | 1740446657
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Entity Type | Individual
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Provider Name | MATTHEW DYKES NBC-HIS
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Gender | Male
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 1118 E MAIN ST
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City | SALISBURY
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State | MD
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Zip | 21804-4460
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Country | US
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Telephone | 410-219-5088
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 E MAIN ST
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City | SALISBURY
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State | MD
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Zip | 21804-4460
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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 |
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Name |
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Credential |
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Telephone |
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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 | 02556
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License Number State | MD
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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 | 03-0000195
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License Number State | DE
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