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General NPI Number Information
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NPI Number | 1922923234
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Entity Type | Organization
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Legal Business Name | MAGNOLIA HEARING AID CENTER, LLC
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 3388 HIGHWAY 53 STE A
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City | HOSCHTON
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State | GA
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Zip | 30548-2519
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Country | US
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Telephone | 770-853-9206
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Fax |
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Provider Business Mailing Address
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Address Line | 815 TUGALO STATE PARK RD
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City | LAVONIA
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State | GA
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Zip | 30553-2457
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Country | US
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Telephone | 678-283-0752
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VICTORIA VOSS SUDDERTH
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Credential |
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Telephone | 678-283-0752
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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 |
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License Number State |
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