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General NPI Number Information
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NPI Number | 1861364846
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Entity Type | Organization
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Legal Business Name | SOUTH ATLANTIC HEARING LLC
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Dates
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Enumeration Date | 09/19/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 9101 MIDLOTHIAN TPKE STE 625
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5036
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Country | US
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Telephone | 804-378-9957
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Fax |
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Provider Business Mailing Address
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Address Line | 9101 MIDLOTHIAN TPKE STE 625
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-5036
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Country | US
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Telephone | 804-378-9957
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | DAWN A CORRIDORE
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Credential |
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Telephone | 518-741-2182
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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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