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General NPI Number Information
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NPI Number | 1932444551
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Entity Type | Individual
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Provider Name | WAYNE NOSS
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Gender | Male
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Dates
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Enumeration Date | 12/07/2012
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 4813 JONESTOWN RD STE 107
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City | HARRISBURG
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State | PA
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Zip | 17109-1748
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Country | US
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Telephone | 717-545-1031
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 SIMPSON FERRY RD STE 202
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City | CAMP HILL
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State | PA
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Zip | 17011-6405
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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 |
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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 | F0348800
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License Number State | PA
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