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General NPI Number Information
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NPI Number | 1760014906
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Entity Type | Organization
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Legal Business Name | ME PIVOT HOLDINGS LLC
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 479 TURNER MCCALL BLVD NE
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City | ROME
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State | GA
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Zip | 30165-2735
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Country | US
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Telephone | 706-234-8412
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Fax | 706-234-8410
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Provider Business Mailing Address
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Address Line | 150 S 5TH ST STE 2300
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City | MINNEAPOLIS
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State | MN
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Zip | 55402-4223
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Country | US
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Telephone | 763-260-4000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEN HALL
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Credential |
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Telephone | 763-268-4000
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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 |
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License Number State |
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