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General NPI Number Information
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NPI Number | 1790094720
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Entity Type | Organization
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Legal Business Name | GULF COAST HEARING SYSTEMS
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Dates
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Enumeration Date | 09/24/2010
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 23 MARKS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-4351
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Country | US
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Telephone | 228-875-0986
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Fax |
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Provider Business Mailing Address
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Address Line | 23 MARKS RD
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City | OCEAN SPRINGS
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State | MS
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Zip | 39564-4351
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Country | US
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Telephone | 228-875-0986
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Fax |
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | BRITTAIN ADAMS
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Credential | NBC-HIS
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Telephone | 228-875-0986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | HA0566
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License Number State | MS
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