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General NPI Number Information
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NPI Number | 1003924366
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Entity Type | Organization
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Legal Business Name | HEARING SPECIALISTS OF NORTHERN MICHIGAN
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2325 SUMMIT PARK DR STE B
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City | PETOSKEY
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State | MI
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Zip | 49770-8685
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Country | US
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Telephone | 231-347-1800
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Fax | 231-347-1864
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Provider Business Mailing Address
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Address Line | 2325 SUMMIT PARK DR STE B
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City | PETOSKEY
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State | MI
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Zip | 49770-8685
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Country | US
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Telephone | 231-347-1800
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Fax | 231-347-1864
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Authorized Official
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Title or Position | AUDIOLOGIST / OWNER
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Name | MRS. KATHLEEN K. BIRCHFIELD
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Credential | M.A., CCC-A
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Telephone | 231-347-1800
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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 | 1601000052
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License Number State | MI
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