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General NPI Number Information
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NPI Number | 1932244217
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Entity Type | Organization
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Legal Business Name | JOHN R. EVERETT
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 1121 DALLAS DR SUITE 6
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City | DENTON
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State | TX
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Zip | 76205-5100
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Country | US
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Telephone | 940-387-2195
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Fax | 940-565-5973
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Provider Business Mailing Address
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Address Line | 1121 DALLAS DR SUITE 6
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City | DENTON
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State | TX
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Zip | 76205-5100
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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 | SECRETARY
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Name | MARGIT E WALLACE
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Credential |
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Telephone | 940-387-2195
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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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