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General NPI Number Information
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NPI Number | 1073512893
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Entity Type | Organization
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Legal Business Name | MID WEST HEARING LLC
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 2504 3RD AVE N
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City | ESCANABA
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State | MI
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Zip | 49829-1323
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Country | US
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Telephone | 906-233-1656
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Fax |
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Provider Business Mailing Address
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Address Line | 131 ENTERPRISE RD
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3326
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Country | US
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Telephone | 401-353-4174
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Fax | 518-736-2285
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | SCOTT LAU
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Credential |
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Telephone | 518-736-2284
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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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