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General NPI Number Information
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NPI Number | 1053688176
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Entity Type | Organization
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Legal Business Name | EAR CARE SPECIALISTS LLC
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 1259 WHITEHALL MALL
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City | WHITEHALL
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State | PA
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Zip | 18052-5124
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Country | US
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Telephone | 610-433-2919
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Fax |
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Provider Business Mailing Address
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Address Line | 1259 WHITEHALL MALL
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City | WHITEHALL
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State | PA
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Zip | 18052-5124
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Country | US
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Telephone | 610-433-2919
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Fax |
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | JAMES J POWELL
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Credential |
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Telephone | 610-433-2919
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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 | F0326701
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License Number State | PA
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