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General NPI Number Information
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NPI Number | 1003358136
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Entity Type | Organization
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Legal Business Name | HEARING ASSOCIATES, INC.
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 11/07/2016
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Provider Practice Location Address
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Address Line | 1830 BLAKE AVE # 203
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4275
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Country | US
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Telephone | 970-945-4275
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Fax |
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Provider Business Mailing Address
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Address Line | 1830 BLAKE AVE # 203
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City | GLENWOOD SPRINGS
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State | CO
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Zip | 81601-4275
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Country | US
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Telephone | 970-945-4275
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Fax |
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Authorized Official
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Title or Position | HEARING AID PROVIDER
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Name | TIMOTHY BLAKE SUMMERS
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Credential |
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Telephone | 469-547-5821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 0000321
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License Number State | CO
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