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General NPI Number Information
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NPI Number | 1083874945
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Entity Type | Organization
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Legal Business Name | ACCURATE HEARCARE CORPORATION
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 5016 N UNIVERSITY ST SUITE 110
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City | PEORIA
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State | IL
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Zip | 61614-4781
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Country | US
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Telephone | 309-693-2717
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Fax | 309-693-2776
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Provider Business Mailing Address
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Address Line | 5016 N UNIVERSITY ST SUITE 110
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City | PEORIA
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State | IL
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Zip | 61614-4781
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Country | US
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Telephone | 309-693-2717
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Fax | 309-693-2776
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Authorized Official
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Title or Position | REGIONAL DIRECTOR
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Name | BRETT W THOMPSON
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Credential | H.I.S.
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Telephone | 309-693-2717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 2940
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License Number State | IL
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