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General NPI Number Information
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NPI Number | 1023329166
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Entity Type | Organization
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Legal Business Name | DORR TO DOOR HEARING, PLLC
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 5375 N 87TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85305-3347
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Country | US
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Telephone | 623-215-8101
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Fax | 623-215-8101
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Provider Business Mailing Address
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Address Line | 5375 N 87TH AVE
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City | GLENDALE
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State | AZ
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Zip | 85305-3347
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Country | US
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Telephone | 623-215-8101
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Fax | 623-215-8101
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Authorized Official
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Title or Position | AGENT
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Name | MS. SHELLEY L DORR
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Credential |
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Telephone | 623-215-8101
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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 | BHAD6484
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License Number State | AZ
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