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General NPI Number Information
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NPI Number | 1851751051
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Entity Type | Individual
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Provider Name | WILBUR ALLEN MATTHEWS
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Gender | Male
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Dates
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Enumeration Date | 03/01/2016
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 915 S MAIN ST
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City | LAURINBURG
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State | NC
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Zip | 28352-4763
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Country | US
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Telephone | 910-276-1125
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Fax |
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Provider Business Mailing Address
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Address Line | 1305 LAWRENCE RD
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City | BROADWAY
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State | NC
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Zip | 27505-9555
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Country | US
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Telephone | 919-935-4855
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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 | 1178
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License Number State | NC
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