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General NPI Number Information
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NPI Number | 1790929917
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Entity Type | Organization
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Legal Business Name | PANHANDLE HEARING CENTERS, INC.
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 05/01/2009
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Provider Practice Location Address
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Address Line | 300 MARY ESTHER BLVD SEARS MIRACLE EAR - SANTA ROSA MALL
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City | MARY ESTHER
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State | FL
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Zip | 32569
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Country | US
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Telephone | 850-243-3196
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Fax | 850-243-8294
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Provider Business Mailing Address
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Address Line | 662 HARBOR BLVD SUITE 140
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City | DESTIN
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State | FL
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Zip | 32541-2473
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Country | US
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Telephone | 850-650-6988
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Fax | 850-650-6989
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NAN B HICKS
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Credential |
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Telephone | 850-650-6988
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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 | AS2176
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS4281
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS4329
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS3760
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License Number State | FL
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