MEDICARE: THREE SCORE, INC. DBA ALEXANDRIA HEARING AID CENTER

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
1	332S00000X	Hearing Aid Equipment	1064	LA
2	332S00000X	Hearing Aid Equipment	333	LA

General Provider Information

NPI Number	:	1376799833
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THREE SCORE, INC. DBA ALEXANDRIA HEARING AID CENTER

Provider Business Mailing Address
First Line	:	PO BOX 12779
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71315-2779
Country	:	US
Telephone Number	:	318-443-6633
Fax Number	:	318-443-7361

Provider Business Practice Location Address
First Line	:	1429 PETERMAN DR
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-3433
Country	:	US
Telephone Number	:	318-443-6633
Fax Number	:	318-443-7361

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JANE D. O'DONNELL
Credential	:	BC-HIS; M.S.A.-H.S.
Telephone Number	:	318-443-6633

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	08/14/2008

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