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NPI 1801062997

NPI 1801062997 : MELINDA JOYCE BEAN MS CCCA : MONROE, NC

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General NPI Number Information
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    NPI Number           |    1801062997
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    Entity Type          |    Individual 
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    Provider Name        |    MELINDA JOYCE BEAN MS CCCA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/08/2008
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    Last Update Date     |    07/30/2024
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Provider Practice Location Address
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    Address Line         |    1632 E ROOSEVELT BLVD 
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    City                 |    MONROE
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    State                |    NC
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    Zip                  |    28112-4017
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    Country              |    US
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    Telephone            |    704-295-3725
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    Fax                  |    704-295-3737
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Provider Business Mailing Address
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    Address Line         |    6035 FAIRVIEW RD 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28210-3256
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    Country              |    US
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    Telephone            |    704-295-3000
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    Fax                  |    704-295-3468
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    AY1815
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    10168
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    11640
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    License Number State |    NC
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