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General NPI Number Information
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NPI Number | 1922545730
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Entity Type | Organization
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Legal Business Name | THE HEARING GROUP, LLC
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 1102 W WAUGH ST
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City | DALTON
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State | GA
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Zip | 30720-8769
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Country | US
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Telephone | 706-271-0999
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Fax | 706-271-0992
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Provider Business Mailing Address
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Address Line | 3644 PEAVINE RD
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City | CROSSVILLE
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State | TN
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Zip | 38571-7923
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Country | US
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Telephone | 931-709-0661
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Fax | 931-709-0661
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Authorized Official
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Title or Position | HEARING CARE PRACTITIONER
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Name | MISS KASI AMANDA RUNION
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Credential | BA OF SCIENCE
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Telephone | 706-271-0999
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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 | HADS000945
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License Number State | GA
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