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NPI 1942526462

NPI 1942526462 : AREA HEARING CENTER, LLC : HENDERSON, NC

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General NPI Number Information
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    NPI Number           |    1942526462
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    Entity Type          |    Organization 
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    Legal Business Name  |    AREA HEARING CENTER, LLC 
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Dates
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    Enumeration Date     |    04/08/2010
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    Last Update Date     |    06/20/2018
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Provider Practice Location Address
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    Address Line         |    857 S BECKFORD DR SUITE H
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    City                 |    HENDERSON
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    State                |    NC
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    Zip                  |    27536-3486
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    Country              |    US
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    Telephone            |    252-430-7744
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    Fax                  |    252-430-0917
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Provider Business Mailing Address
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    Address Line         |    857 S BECKFORD DR SUITE H
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    City                 |    HENDERSON
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    State                |    NC
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    Zip                  |    27536-3486
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    Country              |    US
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    Telephone            |    252-430-7744
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    Fax                  |    252-430-0917
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Authorized Official
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    Title or Position    |    AUDIOLOGIST/MEMBER/MANAGER
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    Name                 |    DR. LARA ROYSTER GRAY 
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    Credential           |    AU.D.
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    Telephone            |    252-430-7744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    4578
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    License Number State |    NC
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