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General NPI Number Information
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NPI Number | 1972864932
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Entity Type | Organization
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Legal Business Name | KEVIN T BARLOW, PA. DBA: WINTER HAVEN AUDIOLOGY AND RIDGE AUDIOLOGY.
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 704 SR 60 EAST
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City | LAKE WALES
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State | FL
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Zip | 33853
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Country | US
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Telephone | 863-676-8900
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Fax | 863-676-8971
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Provider Business Mailing Address
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Address Line | 704 SR 60 EAST
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City | LAKE WALES
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State | FL
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Zip | 33853
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Country | US
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Telephone | 863-676-8900
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Fax | 863-676-8971
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN BARLOW
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Credential |
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Telephone | 863-293-6507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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