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General NPI Number Information
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NPI Number | 1801303755
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Entity Type | Individual
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Provider Name | MR. HARRY WOODSON KESSLER III
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Gender | Male
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Dates
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Enumeration Date | 01/01/2018
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Last Update Date | 01/01/2018
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Provider Practice Location Address
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Address Line | 325 ELM AVE SE
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City | ROANOKE
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State | VA
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Zip | 24013-1723
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Country | US
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Telephone | 540-343-5567
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Fax | 540-343-9066
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Provider Business Mailing Address
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Address Line | 6569 FOREST VIEW RD
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City | ROANOKE
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State | VA
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Zip | 24018-7627
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Country | US
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Telephone | 540-520-7795
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Fax |
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2101000705
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License Number State | VA
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