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General NPI Number Information
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NPI Number | 1760549463
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Entity Type | Individual
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Provider Name | MARK O STUEMKE HEARING INSTRUMENT S
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 03/21/2013
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Provider Practice Location Address
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Address Line | 644 STATESVILLE BLVD UNIT #3
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City | SALISBURY
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State | NC
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Zip | 28144-2280
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Country | US
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Telephone | 704-633-6775
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Fax | 704-633-6799
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Provider Business Mailing Address
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Address Line | 644 STATESVILLE BLVD UNIT #3
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City | SALISBURY
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State | NC
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Zip | 28144-2280
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Country | US
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Telephone | 704-633-6775
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Fax | 704-633-6799
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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 | 1270
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License Number State | NC
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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 | 386N02
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License Number State | NC
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