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General NPI Number Information
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NPI Number | 1891055869
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Entity Type | Organization
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Legal Business Name | FATHER AND SONS HEARING CENTER INC
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 1801 NW HWY 19 CRYSTAL RIVER MALL SUITE 293 FATHER & SON'S HEARING CENTER
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-6120
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Country | US
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Telephone | 352-564-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 NW HWY 19 CRYSTAL RIVER MALL SUITE 293 FATHER & SON'S HEARING CENTER
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-6120
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Country | US
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Telephone | 352-564-8000
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | RICHARD MARTIN THRONEBURG
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Credential | HIS.
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Telephone | 352-564-8000
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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 | 0719
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License Number State | NM
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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 | AS4870
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License Number State | FL
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