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General NPI Number Information
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NPI Number | 1942322623
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Entity Type | Organization
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Legal Business Name | EARTECH INC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3904 9TH AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-1704
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Country | US
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Telephone | 941-747-8193
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Fax |
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Provider Business Mailing Address
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Address Line | 3904 9TH AVE W
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City | BRADENTON
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State | FL
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Zip | 34205-1704
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Country | US
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Telephone | 941-747-8193
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MRS. MARJA LYNN KRYWKO
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Credential |
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Telephone | 941-747-8193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | AY549
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA2294
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS0002378
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS0002885
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License Number State | FL
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