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General NPI Number Information
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NPI Number | 1093745796
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Entity Type | Organization
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Legal Business Name | HEARMED
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 20122 LAKE CHABOT RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5306
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Country | US
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Telephone | 510-582-3011
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Fax | 510-582-8634
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Provider Business Mailing Address
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Address Line | 20122 LAKE CHABOT RD
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City | CASTRO VALLEY
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State | CA
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Zip | 94546-5306
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Country | US
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Telephone | 510-582-3011
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Fax | 510-582-8634
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Authorized Official
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Title or Position | OWNER
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Name | BARETT ST. GERMAIN
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Credential |
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Telephone | 510-582-3011
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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 | AU1116
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | HA6053
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License Number State | CA
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