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General NPI Number Information
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NPI Number | 1912302738
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY HEARING AND SPEECH CENTERS, LLC
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 825 S US HIGHWAY 1 SUITE #100
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City | JUPITER
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State | FL
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Zip | 33477-5976
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Country | US
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Telephone | 561-320-9152
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Fax | 561-320-9153
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Provider Business Mailing Address
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Address Line | 825 S US HIGHWAY 1 SUITE #100
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City | JUPITER
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State | FL
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Zip | 33477-5976
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Country | US
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Telephone | 561-320-9152
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Fax | 561-320-9153
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Authorized Official
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Title or Position | AUDIOLOTIST/OWNER
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Name | DR. NATALIE FERNANDEZ-ROQUE
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Credential | AU.D.
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Telephone | 561-320-9152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AY131
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License Number State | FL
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