MEDICARE: AFFORDABLE HEARING NETWORKS

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	52529	UT

General Provider Information

NPI Number	:	1710119466
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFFORDABLE HEARING NETWORKS

Provider Business Mailing Address
First Line	:	4578 HIGHLAND DR
Second Line	:	270
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-4243
Country	:	US
Telephone Number	:	801-424-2849
Fax Number	:	801-274-2026

Provider Business Practice Location Address
First Line	:	4578 HIGHLAND DR
Second Line	:	270
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117-4243
Country	:	US
Telephone Number	:	801-424-2849
Fax Number	:	801-274-2026

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MARC LAPIN
Credential	:	CEO
Telephone Number	:	443-615-4339

Provider Enumeration Date	:	08/13/2009
Last Update Date	:	10/27/2009

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1902185267 — AFFORDABLE HEARING NETWORKS LLC
Practice Location Address:

4578 HIGHLAND DR , 270
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Practice Fax: 801-274-2026

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