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General NPI Number Information
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NPI Number | 1003307836
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Entity Type | Organization
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Legal Business Name | NORTHLAND HEARING CENTER, INC.
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 17115 SE 270TH PL STE E-104
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City | COVINGTON
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State | WA
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Zip | 98042-5647
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Country | US
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Telephone | 253-639-3339
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Fax | 253-639-3839
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Provider Business Mailing Address
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Address Line | 6700 WASHINGTON AVE S
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3405
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Country | US
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Telephone | 800-328-8602
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Fax |
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Authorized Official
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Title or Position | MANAGER OF THIRD-PARTY PROGRAMS
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Name | KATIE ANN KLEIN
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Credential |
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Telephone | 952-999-5529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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