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General NPI Number Information
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NPI Number | 1861723975
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Entity Type | Organization
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Legal Business Name | NEWTONE HEARING CENTER, INC
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 21300 GERTRUDE AVE SUITE 2
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5018
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Country | US
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Telephone | 941-258-3730
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Fax | 941-258-3731
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Provider Business Mailing Address
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Address Line | 21300 GERTRUDE AVE SUITE 2
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5018
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Country | US
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Telephone | 941-258-3730
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Fax | 941-258-3731
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEVEN TARR
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Credential | BC-JIS
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Telephone | 941-258-3730
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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 | AS4448
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License Number State | FL
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