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General NPI Number Information
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NPI Number | 1942553193
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Entity Type | Organization
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Legal Business Name | JKL HEARING CENTER INC
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Dates
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Enumeration Date | 10/24/2012
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Last Update Date | 10/24/2012
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Provider Practice Location Address
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Address Line | 237 JOHN MORROW PKWY
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City | GAINESVILLE
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State | GA
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Zip | 30501
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Country | US
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Telephone | 770-536-5552
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Fax | 770-814-9772
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Provider Business Mailing Address
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Address Line | 237 JOHN MORROW PKWY
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City | GAINESVILLE
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State | GA
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Zip | 30501
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Country | US
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Telephone | 770-536-5552
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Fax | 770-814-9772
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Authorized Official
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Title or Position | OWNER
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Name | MS. JANE L LEWIS
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Credential |
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Telephone | 770-519-6400
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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 | HADE034993
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License Number State | GA
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