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General NPI Number Information
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NPI Number | 1053502856
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Entity Type | Organization
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Legal Business Name | SOUTH SEATTLE HEARING AIDS
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 16259 SYLVESTER RD SW SUITE 505
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City | BURIEN
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State | WA
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Zip | 98166-3049
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Country | US
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Telephone | 206-242-3696
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Fax | 206-246-1078
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Provider Business Mailing Address
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Address Line | 16259 SYLVESTER RD SW SUITE 505
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City | BURIEN
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State | WA
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Zip | 98166-3049
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Country | US
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Telephone | 206-242-3696
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Fax | 206-246-1078
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK HUGH MCCLEAN
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Credential | M.D.
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Telephone | 206-242-3696
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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 |
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License Number State | WA
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