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General NPI Number Information
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NPI Number | 1003160094
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Entity Type | Organization
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Legal Business Name | BEAULIEU HEARING CENTER INC.
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 2112 BROADWAY ST
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City | NORTH BEND
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State | OR
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Zip | 97459-2330
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Country | US
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Telephone | 541-756-6337
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Fax | 541-751-9908
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Provider Business Mailing Address
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Address Line | 2112 BROADWAY ST
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City | NORTH BEND
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State | OR
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Zip | 97459-2330
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Country | US
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Telephone | 541-756-6337
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Fax | 541-751-9908
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW BEAULIEU
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Credential |
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Telephone | 541-756-6337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS-P-542819
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS-P-519608
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HAS-P-1002441
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License Number State | OR
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