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General NPI Number Information
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NPI Number | 1972143873
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Entity Type | Organization
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Legal Business Name | DGN VENTURES
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 166 S MAIN ST STE 3
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-2500
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Country | US
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Telephone | 717-504-5229
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Fax |
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Provider Business Mailing Address
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Address Line | 2189 DEER RUN DR
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City | HUMMELSTOWN
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State | PA
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Zip | 17036-7070
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Country | US
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Telephone | 717-504-5229
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MS. NICOLE VAN DEN EEDEN
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Credential |
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Telephone | 717-504-5229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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