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General NPI Number Information
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NPI Number | 1023244795
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Entity Type | Organization
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Legal Business Name | HEARMAX-AFFORDABLE HEARING AIDS, LLC
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 06/08/2009
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Provider Practice Location Address
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Address Line | 2109 BOB WALLACE AVE SW STE C
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City | HUNTSVILLE
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State | AL
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Zip | 35805-4734
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Country | US
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Telephone | 256-534-3277
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Fax | 256-489-5890
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Provider Business Mailing Address
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Address Line | 2109 BOB WALLACE AVE SW STE C
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City | HUNTSVILLE
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State | AL
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Zip | 35805-4734
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Country | US
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Telephone | 256-534-3277
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Fax | 256-489-5890
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Authorized Official
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Title or Position | MANAGING MEMBER/DISPENSER
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Name | MR. DAVID SCOTT DISHMAN
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Credential | BC-HIS
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Telephone | 256-534-3277
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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 | 4102
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License Number State | AL
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