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General NPI Number Information
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NPI Number | 1922448125
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Entity Type | Individual
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Provider Name | RICHARD ANDERS
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Gender | Male
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Dates
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Enumeration Date | 07/02/2013
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 390 N COURTENAY PKWY
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City | MERRITT ISLAND
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State | FL
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Zip | 32953-3456
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Country | US
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Telephone | 321-453-7800
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Fax | 321-453-7801
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Provider Business Mailing Address
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Address Line | 2510 E SUNSET RD UNIT 5-260
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City | LAS VEGAS
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State | NV
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Zip | 89120-3511
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Country | US
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Telephone | 702-798-0113
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Fax | 866-291-5242
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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 | AS 4825
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License Number State | FL
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