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General NPI Number Information
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NPI Number | 1134594948
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Entity Type | Organization
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Legal Business Name | NORTHLAND HEARING CENTERS, INC.
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 7301A W PALMETTO PARK RD SUITE 305A
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City | BOCA RATON
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State | FL
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Zip | 33433-3466
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Country | US
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Telephone | 561-393-6161
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Fax | 561-393-5331
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Provider Business Mailing Address
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Address Line | 1001 E. SUNSET ROAD UNIT 96595
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City | LAS VEGAS
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State | NV
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Zip | 89193-1246
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Country | US
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Telephone | 702-798-0113
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Fax | 866-291-5242
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STEVEN L RICHARDS
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Credential |
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Telephone | 800-328-8602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 201256229
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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