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NPI Code Detail

MEDICARE: MIRACLE EAR HEARING

MEDICARE: MIRACLE EAR HEARING
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
1332S00000XHearing Aid EquipmentHA2358CA

General Provider Information

NPI Number : 1730251091
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRACLE EAR HEARING
Provider Business Mailing Address
First Line : 432 GRASS VALLEY HWY
Second Line :
City : AUBURN
State : CA
Zip : 95603-3714
Country : US
Telephone Number : 530-889-8660
Fax Number : 530-889-1634
Provider Business Practice Location Address
First Line : 432 GRASS VALLEY HWY
Second Line :
City : AUBURN
State : CA
Zip : 95603-3714
Country : US
Telephone Number : 530-889-8660
Fax Number : 530-889-1634
Authorized Official
Title or Position : OWNER
Name : VINCENT ROY CHIQUET
Credential : HEARING AID DISPENSE
Telephone Number : 530-889-8660
Provider Enumeration Date : 11/14/2006
Last Update Date : 07/21/2008

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Directions to “MIRACLE EAR HEARING ” Practice Location

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