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General NPI Number Information
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NPI Number | 1114187374
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Entity Type | Organization
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Legal Business Name | ADVANCED HEARING CARE
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 06/11/2008
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Provider Practice Location Address
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Address Line | 8023 GRAND RIVER RD 400
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City | BRIGHTON
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State | MI
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Zip | 48114-9392
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Country | US
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Telephone | 810-494-4327
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Fax | 810-494-4329
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Provider Business Mailing Address
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Address Line | 8023 GRAND RIVER RD 400
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City | BRIGHTON
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State | MI
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Zip | 48114-9392
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Country | US
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Telephone | 810-494-4327
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Fax | 810-494-4329
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KAREN LYNN BUTCHART
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Credential | BC-HIS
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Telephone | 810-494-4327
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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 | 3501001767
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License Number State | MI
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