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NPI Code Detail

MEDICARE: ARIZONA HEARCARE NETWORK, INC

MEDICARE: ARIZONA HEARCARE NETWORK, 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
1237600000XAudiologist-Hearing Aid FitterHAD1506AZ

General Provider Information

NPI Number : 1518947829
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA HEARCARE NETWORK, INC
Provider Business Mailing Address
First Line : PO BOX 6735
Second Line :
City : GOODYEAR
State : AZ
Zip : 85338-0629
Country : US
Telephone Number : 602-439-4321
Fax Number : 623-580-9396
Provider Business Practice Location Address
First Line : 13934 N 59TH AVE
Second Line : SUITE 120
City : GLENDALE
State : AZ
Zip : 85306-4167
Country : US
Telephone Number : 602-439-4321
Fax Number : 623-580-9396
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEPHEN F TEODORO
Credential : AU.D, FAAA
Telephone Number : 602-866-0147
Provider Enumeration Date : 01/20/2006
Last Update Date : 08/22/2020

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Directions to “ARIZONA HEARCARE NETWORK, INC ” Practice Location

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