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NPI 1851725907

NPI 1851725907 : BELTONE ORLANDO, LLC : ALTAMONTE SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1851725907
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELTONE ORLANDO, LLC 
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Dates
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    Enumeration Date     |    08/26/2013
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    Last Update Date     |    08/26/2013
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Provider Practice Location Address
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    Address Line         |    990 N STATE ROAD 434 SUITE 1144
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    City                 |    ALTAMONTE SPRINGS
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    State                |    FL
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    Zip                  |    32714-7035
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    Country              |    US
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    Telephone            |    904-298-2855
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    Fax                  |    904-298-2857
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Provider Business Mailing Address
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    Address Line         |    931 JEFFERSON BLVD STE. 2001
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    City                 |    WARWICK
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    State                |    RI
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    Zip                  |    02886-2234
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    Country              |    US
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    Telephone            |    904-298-2855
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    Fax                  |    904-298-2857
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Authorized Official
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    Title or Position    |    INSURANCE MANAGER
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    Name                 |     ANDREA  BARBER 
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    Credential           |    
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    Telephone            |    904-298-2855
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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       |    AS3349
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    License Number State |    FL
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