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General NPI Number Information
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NPI Number | 1780879676
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Entity Type | Organization
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Legal Business Name | MARK KRIPAL HEARING & AUDIOLOGY LLC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 801 WILLIAM AVE
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City | NORTH PLATTE
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State | NE
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Zip | 69101-6556
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Country | US
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Telephone | 308-532-3330
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Fax | 308-532-3334
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Provider Business Mailing Address
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Address Line | PO BOX 795
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City | NORTH PLATTE
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State | NE
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Zip | 69103-0795
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Country | US
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Telephone | 308-532-3330
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Fax | 308-532-3334
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Authorized Official
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Title or Position | OFFICE MANAGER, OWNER
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Name | LORI JAYNE KRIPAL
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Credential |
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Telephone | 308-532-3334
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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 | 639
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 166
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License Number State | NE
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