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General NPI Number Information
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NPI Number | 1053909556
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Entity Type | Organization
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Legal Business Name | GOLDEN STATE HEARING AID CENTER, INC.
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Dates
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Enumeration Date | 01/10/2021
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Last Update Date | 01/10/2021
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Provider Practice Location Address
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Address Line | 3995 N FRESNO ST STE 106
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City | FRESNO
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State | CA
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Zip | 93726-4031
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Country | US
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Telephone | 559-354-0340
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Fax | 559-354-0341
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Provider Business Mailing Address
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Address Line | 200 W ROSEBURG AVE STE B2
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City | MODESTO
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State | CA
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Zip | 95350-5200
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Country | US
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Telephone | 209-287-3272
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Fax | 209-287-3232
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN HOLDEN
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Credential |
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Telephone | 209-287-3272
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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 |
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