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General NPI Number Information
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NPI Number | 1043685274
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Entity Type | Organization
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Legal Business Name | DESERT KNOLLS HEARING AID CENTER, INC
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 19195 US HIGHWAY 18 STE 202
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2562
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Country | US
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Telephone | 760-242-2388
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Fax | 760-242-2312
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Provider Business Mailing Address
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Address Line | 19195 US HIGHWAY 18 STE 202
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2562
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Country | US
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Telephone | 760-242-2388
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Fax | 760-242-2312
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Authorized Official
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Title or Position | CEO
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Name | DENISE MARIE FRANKEN DUFF
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Credential | B.C.-H.I.S.
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Telephone | 760-242-2388
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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 |
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License Number State |
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