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General NPI Number Information
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NPI Number | 1922381300
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Entity Type | Organization
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Legal Business Name | ABC HEARING PROFESSIONALS LLC.
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Dates
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Enumeration Date | 09/22/2011
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 2900 PEACHTREE RD NW STE 210
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City | ATLANTA
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State | GA
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Zip | 30305-2189
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Country | US
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Telephone | 404-869-3494
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Fax | 404-869-3496
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Provider Business Mailing Address
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Address Line | 2900 PEACHTREE RD NW STE 210
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City | ATLANTA
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State | GA
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Zip | 30305-2189
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Country | US
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Telephone | 404-869-3494
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Fax | 404-869-3496
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. RICHARD MICHAEL SIMS
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Credential |
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Telephone | 815-899-4415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | HADE034980
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License Number State | GA
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