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General NPI Number Information
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NPI Number | 1922490119
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Entity Type | Organization
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Legal Business Name | EYE CONSULTANTS HEARING AID CENTER, LLC
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 3225 CUMBERLAND BLVD SE STE 900
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City | ATLANTA
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State | GA
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Zip | 30339-6407
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Country | US
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Telephone | 404-351-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 3225 CUMBERLAND BLVD SE STE 900
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City | ATLANTA
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State | GA
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Zip | 30339-6407
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | KIMBERLY PERRY
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Credential |
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Telephone | 404-591-2950
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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 |
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License Number State |
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