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General NPI Number Information
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NPI Number | 1033536123
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Entity Type | Organization
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Legal Business Name | CAPE COD HEARING SERVICES, INC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 03/26/2014
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Provider Practice Location Address
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Address Line | 65 CEDAR ST
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City | HYANNIS
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State | MA
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Zip | 02601-3009
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Country | US
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Telephone | 508-790-0063
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Fax |
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Provider Business Mailing Address
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Address Line | 65 CEDAR ST
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City | HYANNIS
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State | MA
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Zip | 02601-3009
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Country | US
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Telephone | 508-790-0063
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | CHRISTINE M CHAD
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Credential | AUD CCC-A FAAA
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Telephone | 508-790-0063
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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 | 875
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License Number State | MA
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