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NPI Code Detail

MEDICARE: MIRACLE-EAR, INC.

MEDICARE: MIRACLE-EAR, 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 Fitter

General Provider Information

NPI Number : 1841423555
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRACLE-EAR, INC.
Provider Business Mailing Address
First Line : 5000 CHESHIRE PKWY N
Second Line :
City : PLYMOUTH
State : MN
Zip : 55446-4103
Country : US
Telephone Number : 561-433-2040
Fax Number :
Provider Business Practice Location Address
First Line : 6746 FOREST HILL BLVD
Second Line :
City : GREENACRES
State : FL
Zip : 33413-3321
Country : US
Telephone Number : 561-433-2040
Fax Number :
Authorized Official
Title or Position : VICE PRESIDENT
Name : PAUL M. D'AMICO
Credential :
Telephone Number : 888-510-0766
Provider Enumeration Date : 08/27/2009
Last Update Date : 08/27/2009

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Directions to “MIRACLE-EAR, INC. ” Practice Location

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