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NPI Code Detail

MEDICARE: JOSEPH HALLAL AUDIOLOGIST

MEDICARE:   JOSEPH  HALLAL  AUDIOLOGIST
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
1237600000XAudiologist-Hearing Aid FitterA - 00470OH

General Provider Information

NPI Number : 1013456706
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH HALLAL AUDIOLOGIST
Provider Business Mailing Address
First Line : 9417 BROADVIEW RD
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-2307
Country : US
Telephone Number : 440-781-1178
Fax Number :
Provider Business Practice Location Address
First Line : 9417 BROADVIEW RD
Second Line :
City : BROADVIEW HEIGHTS
State : OH
Zip : 44147-2307
Country : US
Telephone Number : 440-781-1178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2017
Last Update Date : 02/15/2017

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Directions to “ JOSEPH HALLAL AUDIOLOGIST” Practice Location

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