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General NPI Number Information
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NPI Number | 1033316625
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Entity Type | Organization
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Legal Business Name | DEL MAR HEARING AID ASSOC., INC
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24338 EL TORO RD E-339
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-2776
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Country | US
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Telephone | 949-474-1078
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Fax | 714-417-9651
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Provider Business Mailing Address
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Address Line | 24338 EL TORO RD E-339
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City | LAGUNA WOODS
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State | CA
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Zip | 92637-2776
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Country | US
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Telephone | 949-474-1078
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Fax | 714-417-9651
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHAUNA DEANNE KUBO
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Credential | BC-HIS,ACA
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Telephone | 949-474-1078
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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 | 2621
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License Number State | CA
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