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General NPI Number Information
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NPI Number | 1801429345
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Entity Type | Organization
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Legal Business Name | ELITE HEARING CARE, LLC
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 194 MADISON SQUARE DR STE 1
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City | MADISONVILLE
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State | KY
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Zip | 42431-2794
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Country | US
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Telephone | 270-821-9451
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Fax |
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Provider Business Mailing Address
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Address Line | 194 MADISON SQUARE DR STE 1
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City | MADISONVILLE
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State | KY
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Zip | 42431-2794
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Country | US
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Telephone | 270-821-9451
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANTHONY W WILSON
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Credential |
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Telephone | 270-821-9451
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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 |
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License Number State |
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