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General NPI Number Information
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NPI Number | 1952846420
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Entity Type | Organization
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Legal Business Name | IDEAL PRACTICE MANAGEMENT GROUP DE LLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 9625 SURVEYOR CT STE 120
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City | MANASSAS
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State | VA
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Zip | 20110-4408
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Country | US
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Telephone | 703-369-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 35 WATERVIEW BLVD STE 305
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City | PARSIPPANY
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State | NJ
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Zip | 07054-7604
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Country | US
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Telephone | 603-288-3233
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Fax | 973-588-7268
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Authorized Official
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Title or Position | CFO
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Name | VICKI COLE
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Credential |
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Telephone | 973-588-7266
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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