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NPI 1821586892

NPI 1821586892 : EMTECH LABORATORIES INC. : ROANOKE, VA

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General NPI Number Information
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    NPI Number           |    1821586892
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMTECH LABORATORIES INC. 
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Dates
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    Enumeration Date     |    04/25/2018
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    Last Update Date     |    04/25/2018
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Provider Practice Location Address
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    Address Line         |    7745 GARLAND CIRCLE 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24019
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    Country              |    US
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    Telephone            |    540-264-9156
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    Fax                  |    540-265-9164
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Provider Business Mailing Address
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    Address Line         |    P O BOX 12900 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24022
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    Country              |    US
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    Telephone            |    540-265-9156
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    Fax                  |    540-265-9164
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Authorized Official
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    Title or Position    |    CONTROLLER
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    Name                 |    MRS. LOUISE H VERMILLION 
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    Credential           |    
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    Telephone            |    540-265-1956
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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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