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General NPI Number Information
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NPI Number | 1013179209
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Entity Type | Organization
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Legal Business Name | HEAR ON EARTH HEARING CARE CENTER
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Dates
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Enumeration Date | 06/28/2008
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Last Update Date | 06/28/2008
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Provider Practice Location Address
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Address Line | 920 N TELSHOR BLVD STE A
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City | LAS CRUCES
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State | NM
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Zip | 88011-8244
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Country | US
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Telephone | 575-523-8816
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Fax | 575-522-0026
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Provider Business Mailing Address
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Address Line | 920 N TELSHOR BLVD STE A
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City | LAS CRUCES
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State | NM
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Zip | 88011-8244
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Country | US
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Telephone | 575-523-8816
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Fax | 575-522-0026
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAYMOND E BAMBERG
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Credential | BC-HIS
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Telephone | 575-523-8816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 290
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License Number State | NM
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