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NPI Code Detail

MEDICARE: NORTHLAND HEARING CENTER, INC.

MEDICARE: NORTHLAND HEARING CENTER, INC.
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
1261QH0700XHearing and Speech Clinic/Center

General Provider Information

NPI Number : 1033876446
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHLAND HEARING CENTER, INC.
Provider Business Mailing Address
First Line : 6700 WASHINGTON AVE S
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 650 SW WILSHIRE BLVD
Second Line :
City : BURLESON
State : TX
Zip : 76028-5851
Country : US
Telephone Number : 817-882-6204
Fax Number :
Authorized Official
Title or Position : AR SUPERVISOR
Name : BEE XIONG
Credential :
Telephone Number : 952-995-6601
Provider Enumeration Date : 11/19/2021
Last Update Date : 11/19/2021

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