MEDICARE: DEBRA ENGLISH HAD

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	237700000X	Hearing Instrument Specialist	HA7402	CA

General Provider Information

NPI Number	:	1487884342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA ENGLISH HAD

Provider Business Mailing Address
First Line	:	1502 SPRING ST STE A
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-2167
Country	:	US
Telephone Number	:	805-238-1078
Fax Number	:	805-238-1074

Provider Business Practice Location Address
First Line	:	1502 SPRING ST STE A
Second Line	:
City	:	PASO ROBLES
State	:	CA
Zip	:	93446-2167
Country	:	US
Telephone Number	:	805-238-1078
Fax Number	:	805-238-1074

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2009
Last Update Date	:	03/23/2011

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