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General NPI Number Information
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NPI Number | 1942545124
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Entity Type | Organization
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Legal Business Name | OPTIMAL HEARING SYSTEMS
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 527 STEPHENSON AVE A-3
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City | SAVANNAH
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State | GA
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Zip | 31405-5923
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Country | US
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Telephone | 912-352-8530
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Fax | 912-352-1423
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Provider Business Mailing Address
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Address Line | 300 CREEKSTONE RDG
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City | WOODSTOCK
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State | GA
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Zip | 30188-3739
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Country | US
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Telephone | 912-352-8530
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Fax | 912-352-1423
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. GABRIEL JYOTI PITT
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Credential | AU.D.
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Telephone | 912-352-8530
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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 | AUD3780
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AUD3899
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License Number State | SC
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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 | HAS0413
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License Number State | SC
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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 | HADS000186
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License Number State | GA
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