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General NPI Number Information
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NPI Number | 1881916781
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Entity Type | Organization
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Legal Business Name | EASTERWOOD & ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/18/2010
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 9013 UNIVERSITY PKWY E
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City | PENSACOLA
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State | FL
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Zip | 32514-9416
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Country | US
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Telephone | 850-476-1502
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Fax | 850-476-1503
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Provider Business Mailing Address
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Address Line | 9013 UNIVERSITY PKWY E
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City | PENSACOLA
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State | FL
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Zip | 32514-9416
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Country | US
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Telephone | 850-476-1502
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Fax | 850-476-1503
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DEAN C EASTERWOOD
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Credential | BC-HAS
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Telephone | 850-476-1502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY977
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License Number State | FM
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS4234
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | AY977
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | AS4234
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License Number State | FL
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