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General NPI Number Information
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NPI Number | 1780773598
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Entity Type | Organization
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Legal Business Name | HEAR AGAIN HEARING AID CENTER, LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/27/2007
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Provider Practice Location Address
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Address Line | 1969 SE PORT ST LUCIE BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-5536
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Country | US
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Telephone | 772-335-8700
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Fax | 772-335-8799
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Provider Business Mailing Address
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Address Line | 465 DEER CREEK RUN
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1330
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Country | US
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Telephone | 954-426-4660
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Fax | 646-304-2695
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | DR. DAVID ROBERT REYNOLDS
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Credential | O.D.
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Telephone | 954-426-4660
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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 | AS4002(JJ LAFEBRE)
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License Number State | FL
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