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General NPI Number Information
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NPI Number | 1790095719
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Entity Type | Organization
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Legal Business Name | HEARING HEALTHCARE SOLUTIONS, INC.
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 7007 UNIVERSITY BLVS.
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City | WINTER PARK
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State | FL
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Zip | 32792
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Country | US
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Telephone | 321-972-6888
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Fax | 321-972-6890
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Provider Business Mailing Address
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Address Line | 1751 BLUE RIDGE RD
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City | WINTER PARK
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State | FL
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Zip | 32789-5826
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Country | US
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Telephone | 239-218-0441
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Fax | 407-286-3186
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Authorized Official
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Title or Position | OWNER
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Name | MATTHEW CRAIG PAVONE
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Credential | BC-HIS, HAS
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Telephone | 239-218-0441
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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 | AS 3404
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License Number State | FL
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