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General NPI Number Information
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NPI Number | 1790161669
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Entity Type | Organization
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Legal Business Name | GRAND STRAND HEARING, LLC
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Dates
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Enumeration Date | 08/03/2015
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1016 2ND AVE N SUITE 102
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-3287
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Country | US
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Telephone | 843-732-6090
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Fax | 843-491-3573
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Provider Business Mailing Address
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Address Line | 1016 2ND AVE N SUITE 102
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-3287
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Country | US
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Telephone | 843-732-6090
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Fax | 843-491-3573
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Authorized Official
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Title or Position | OWNER
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Name | TOMMI MICHELLE GRAY STANLEY
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Credential |
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Telephone | 843-732-6090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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