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General NPI Number Information
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NPI Number | 1912476391
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Entity Type | Organization
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Legal Business Name | WARREN HEARING SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 189 GAITHER ST
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City | MOCKSVILLE
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State | NC
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Zip | 27028
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Country | US
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Telephone | 336-753-8900
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Fax | 336-753-8901
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Provider Business Mailing Address
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Address Line | 189 GAITHER ST
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City | MOCKSVILLE
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State | NC
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Zip | 27028
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Country | US
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Telephone | 336-753-8900
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Fax | 336-753-8901
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Authorized Official
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Title or Position | OWNER/DISPNSER
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Name | MRS. SANDRA LYNN WARREN
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Credential | LICENSED HEARING AID
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Telephone | 336-753-8900
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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 |
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License Number State |
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