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General NPI Number Information
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NPI Number | 1881190957
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Entity Type | Organization
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Legal Business Name | A1 AFFORDABLE HEARING LLC
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 108 W FIRE TOWER RD STE G
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City | WINTERVILLE
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State | NC
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Zip | 28590-8408
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Country | US
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Telephone | 252-689-6020
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Fax | 252-689-6029
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Provider Business Mailing Address
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Address Line | 108 W FIRE TOWER RD STE G
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City | WINTERVILLE
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State | NC
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Zip | 28590-8408
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Country | US
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Telephone | 252-689-6020
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Fax | 252-689-6029
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Authorized Official
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Title or Position | HEARING AID SPECIALIST
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Name | MR. JAY BRYAN NICHOLS
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Credential | BC-HIS
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Telephone | 252-342-1155
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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 | 1435
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License Number State | NC
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