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General NPI Number Information
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NPI Number | 1124363528
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Entity Type | Organization
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Legal Business Name | YAVAPAI HEARING AID CENTER
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 8560 HIGHWAY 69 #A
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314
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Country | US
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Telephone | 928-445-7710
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Fax | 928-445-7715
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Provider Business Mailing Address
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Address Line | 8560 HIGHWAY 69 #A
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314
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Country | US
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Telephone | 928-445-7710
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Fax | 928-445-7715
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEE ANN PRINZ
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Credential |
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Telephone | 928-445-7710
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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 | 332S00000X
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License Number State | AZ
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