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NPI 1881663706

NPI 1881663706 : BELTONE : EDMOND, OK

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General NPI Number Information
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    NPI Number           |    1881663706
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELTONE 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    610 S KELLY AVE SUITE B
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73003-5697
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    Country              |    US
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    Telephone            |    405-340-1400
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    Fax                  |    405-340-0619
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Provider Business Mailing Address
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    Address Line         |    610 S KELLY AVE SUITE B
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    City                 |    EDMOND
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    State                |    OK
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    Zip                  |    73003-5697
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    Country              |    US
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    Telephone            |    405-340-1400
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    Fax                  |    405-340-0619
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     RON  BUTTS 
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    Credential           |    
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    Telephone            |    405-340-1400
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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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