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General NPI Number Information
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NPI Number | 1093981797
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Entity Type | Organization
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Legal Business Name | WISCONSIN HEARING AIDS INC
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 1310 MENDOTA ST #113
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City | MADISON
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State | WI
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Zip | 53714-1092
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Country | US
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Telephone | 608-244-1221
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Fax | 608-244-3050
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Provider Business Mailing Address
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Address Line | 1310 MENDOTA ST #113
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City | MADISON
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State | WI
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Zip | 53714-1092
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Country | US
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Telephone | 608-244-1221
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Fax | 608-244-3050
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | MR. THOMAS DUDLEY PIPPIN
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Credential | BCHIS
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Telephone | 608-244-1221
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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 | 104
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License Number State | WI
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