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General NPI Number Information
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NPI Number | 1902102940
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Entity Type | Individual
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Provider Name | WILLIAM THOMAS LOGSDON SR. HEARING AID DEALER
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Gender | Male
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Dates
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Enumeration Date | 02/09/2011
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Last Update Date | 02/09/2011
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Provider Practice Location Address
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Address Line | 925 SETTLER TRACE
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City | CORYDON
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State | IN
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Zip | 47112
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Country | US
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Telephone | 812-738-8343
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX- 271 925 SETTLER TRACE
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City | CORYDON
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State | IN
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Zip | 47112
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Country | US
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Telephone | 812-738-8343
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 17000428
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License Number State | IN
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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 | KY0427
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License Number State | KY
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