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General NPI Number Information
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NPI Number | 1134536543
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Entity Type | Organization
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Legal Business Name | ECHO HEARING SYSTEMS AND AUDIOLOGY OF CLEVELAND, INC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 4807 ROCKSIDE RD #400
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2192
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Country | US
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Telephone | 216-642-8228
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Fax |
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Provider Business Mailing Address
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Address Line | 4807 ROCKSIDE RD #400
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2192
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Country | US
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Telephone | 216-642-8228
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY/OWNER
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Name | DR. MARVIN J LEWIS
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Credential | AU. D.
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Telephone | 216-642-8228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A00841
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License Number State | OH
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