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General NPI Number Information
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NPI Number | 1962602276
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Entity Type | Organization
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Legal Business Name | MIDDLE TENNESSEE HEARING AID CENTER
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 102 BLYTHEWOOD DR
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City | COLUMBIA
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State | TN
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Zip | 38401-4828
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Country | US
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Telephone | 931-388-3646
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Fax | 931-388-6184
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Provider Business Mailing Address
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Address Line | 102 BLYTHEWOOD DR
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City | COLUMBIA
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State | TN
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Zip | 38401-4828
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Country | US
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Telephone | 931-388-3646
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Fax | 931-388-6184
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | DR. DANIEL W. WEST
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Credential | AUD., CCC-A
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Telephone | 931-388-3646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 256
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License Number State | TN
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