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General NPI Number Information
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NPI Number | 1962729616
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Entity Type | Individual
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Provider Name | EUGENIA LYNN ROYER HIS
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Gender | Female
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Dates
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Enumeration Date | 04/21/2010
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Last Update Date | 04/21/2010
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Provider Practice Location Address
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Address Line | 15991 MANCHESTER RD
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City | ELLISVILLE
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State | MO
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Zip | 63011-2488
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Country | US
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Telephone | 573-944-2501
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Fax | 573-756-9089
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Provider Business Mailing Address
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Address Line | 15991 MANCHESTER RD.
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City | ELLISVILLE
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State | MO
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Zip | 63011
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Country | US
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Telephone | 636-394-4240
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Fax | 573-756-9089
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2010008299
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License Number State | MO
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