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General NPI Number Information
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NPI Number | 1891972931
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Entity Type | Organization
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Legal Business Name | JANET E. FAVINGER
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 11/14/2008
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Provider Practice Location Address
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Address Line | 25255 GRAVEL HILL RD
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City | MILLSBORO
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State | DE
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Zip | 19966-3468
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Country | US
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Telephone | 302-934-1471
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Fax | 302-934-9687
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Provider Business Mailing Address
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Address Line | 25255 GRAVEL HILL RD
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City | MILLSBORO
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State | DE
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Zip | 19966-3468
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Country | US
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Telephone | 302-934-1471
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Fax | 302-934-9687
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JANET E FAVINGER
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Credential |
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Telephone | 302-934-1471
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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 | 03-0000068
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License Number State | DE
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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 | 03-0000067
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 02-0000122
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License Number State | DE
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