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General NPI Number Information
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NPI Number | 1740599380
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Entity Type | Organization
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Legal Business Name | ADVANCED HEARING SYSTEMS, INC.
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Dates
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Enumeration Date | 09/30/2010
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Last Update Date | 09/30/2010
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Provider Practice Location Address
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Address Line | 401 SECURITY SQUARE
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City | GULFPORT
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State | MS
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Zip | 39507
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Country | US
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Telephone | 228-896-3277
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Fax | 228-896-9290
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Provider Business Mailing Address
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Address Line | 401 SECURITY SQUARE
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City | GULFPORT
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State | MS
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Zip | 39507
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Country | US
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Telephone | 228-896-3277
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Fax | 228-896-9290
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Authorized Official
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Title or Position | OWNER
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Name | MS. MELANIE DAWN GILGAN
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Credential | HEARING AID SPECIALI
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Telephone | 228-896-3277
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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 | HA0483
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License Number State | MS
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