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General NPI Number Information
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NPI Number | 1780173765
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Entity Type | Organization
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Legal Business Name | OAK TREE HEARING SERVICES LLC
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Dates
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Enumeration Date | 05/06/2018
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Last Update Date | 05/06/2018
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Provider Practice Location Address
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Address Line | 11555 MEDLOCK BRIDGE RD STE 100
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City | JOHNS CREEK
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State | GA
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Zip | 30097-3200
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Country | US
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Telephone | 678-884-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 11877 DOUGLAS RD STE 102341
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City | ALPHARETTA
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State | GA
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Zip | 30005-4325
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Country | US
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Telephone | 678-884-2220
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DOUGLAS GARBART
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Credential |
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Telephone | 678-887-2659
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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 | HAD000990
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License Number State | GA
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