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NPI Code Detail

MEDICARE: MR. DANIEL P TERBRUEGGEN HAS, BC-HIS

MEDICARE: MR. DANIEL P TERBRUEGGEN HAS, BC-HIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistAS4798FL

General Provider Information

NPI Number : 1770838013
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL P TERBRUEGGEN HAS, BC-HIS
Provider Business Mailing Address
First Line : 3399 WEDGEWOOD LN
Second Line :
City : THE VILLAGES
State : FL
Zip : 32162-7180
Country : US
Telephone Number : 352-259-8070
Fax Number : 352-205-7619
Provider Business Practice Location Address
First Line : 3399 WEDGEWOOD LN
Second Line :
City : THE VILLAGES
State : FL
Zip : 32162-7180
Country : US
Telephone Number : 352-259-8070
Fax Number : 352-205-7619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2012
Last Update Date : 10/10/2019

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