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General NPI Number Information
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NPI Number | 1902868458
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Entity Type | Organization
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Legal Business Name | FAUQUIER HEARING SERVICES PLLC
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 10/03/2011
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Provider Practice Location Address
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Address Line | 493 BLACKWELL ROAD STE 311
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City | WARRENTON
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State | VA
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Zip | 20186
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Country | US
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Telephone | 540-341-7112
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Fax | 540-341-8361
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Provider Business Mailing Address
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Address Line | 493 BLACKWELL ROAD STE 311
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City | WARRENTON
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State | VA
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Zip | 20186
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Country | US
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Telephone | 540-341-7112
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Fax | 540-341-8361
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Authorized Official
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Title or Position | OWNER
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Name | DIANE M MARKVA
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Credential | AUD
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Telephone | 540-341-7112
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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 | 2101000621
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License Number State | VA
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