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General NPI Number Information
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NPI Number | 1144589243
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Entity Type | Organization
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Legal Business Name | COLUMBIA BASIN HEARING CENTER LLC
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1468 BOMBING RANGE RD
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City | WEST RICHLAND
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State | WA
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Zip | 99353-5536
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Country | US
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Telephone | 509-214-0330
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Fax | 509-737-9525
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Provider Business Mailing Address
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Address Line | 4015 W CLEARWATER AVE
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City | KENNEWICK
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State | WA
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Zip | 99336-2631
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Country | US
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Telephone | 509-736-4005
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Fax | 509-737-9525
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Authorized Official
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Title or Position | OWNER
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Name | SHANNON MARIE
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Credential | AUD
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Telephone | 509-736-4005
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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 |
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License Number State |
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