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General NPI Number Information
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NPI Number | 1891221206
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Entity Type | Organization
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Legal Business Name | TRI COUNTY HEARING AID, INC.
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 11115 SW 93RD COURT RD SUITE 600
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City | OCALA
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State | FL
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Zip | 34481-3103
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Country | US
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Telephone | 352-270-2944
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Fax | 352-228-4851
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Provider Business Mailing Address
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Address Line | 3519 N LECANTO HWY
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City | BEVERLY HILLS
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State | FL
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Zip | 34465-3501
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Country | US
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Telephone | 352-746-1133
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Fax | 352-746-3474
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID WAYNE DITCHFIELD
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Credential | ACA, BC-HIS
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Telephone | 352-746-1234
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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 | AS 1650
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License Number State | FL
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