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Individual
KENTON STEPHEN TARVER
Active
Individual
KENTON STEPHEN TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1318
FL
237600000X
Audiologist-Hearing Aid Fitter
AY1318
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33023
MEDICARE GROUP #
FL
01
—
S9133
BCBS
FL
Enumeration date
12/09/2005
Last updated
03/29/2010
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