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General NPI Number Information
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NPI Number | 1124233655
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Entity Type | Organization
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Legal Business Name | RICHARDSON QUALITY HEARING AID CENTER
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1001 E LATHAM AVE SUITE C
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City | HEMET
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State | CA
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Zip | 92543-4435
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Country | US
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Telephone | 951-925-9948
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Fax | 951-925-8333
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Provider Business Mailing Address
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Address Line | 1001 E LATHAM AVE SUITE C
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City | HEMET
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State | CA
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Zip | 92543-4435
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Country | US
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Telephone | 951-925-9948
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Fax | 951-925-8333
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DOROTHY MAE RICHARDSON
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Credential | HEARING SPECIALIST
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Telephone | 951-925-9948
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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 | HA2836
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License Number State | CA
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