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General NPI Number Information
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NPI Number | 1144426453
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Entity Type | Organization
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Legal Business Name | NORTHWEST KANSAS HEARING SERVICES, INC
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Dates
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Enumeration Date | 06/23/2007
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Last Update Date | 04/08/2008
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Provider Practice Location Address
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Address Line | 175 S RANGE AVE
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City | COLBY
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State | KS
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Zip | 67701-2931
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Country | US
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Telephone | 785-460-2957
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Fax | 785-460-3002
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Provider Business Mailing Address
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Address Line | 175 S RANGE AVE
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City | COLBY
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State | KS
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Zip | 67701-2931
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Country | US
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Telephone | 785-460-2957
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Fax | 785-460-3002
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Authorized Official
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Title or Position | MEDICAL CONSULTANT
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Name | DR. VICTOR H HILDYARD II
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Credential | MEDICAL DOCTOR
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Telephone | 785-460-2957
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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 | 374
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License Number State | KS
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