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NPI 1144699836

NPI 1144699836 : PALM BEACH HEARING CARE CENTERS, INC. : WEST PALM BEACH, FL

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General NPI Number Information
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    NPI Number           |    1144699836
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    Entity Type          |    Organization 
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    Legal Business Name  |    PALM BEACH HEARING CARE CENTERS, INC. 
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Dates
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    Enumeration Date     |    09/23/2015
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    Last Update Date     |    09/23/2015
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Provider Practice Location Address
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    Address Line         |    2905 N MILITARY TRL STE G 
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33409-2921
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    Country              |    US
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    Telephone            |    561-644-7902
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2905 N MILITARY TRL STE G 
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33409-2921
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    Country              |    US
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    Telephone            |    561-644-7902
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ROBERT  RANERE 
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    Credential           |    
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    Telephone            |    561-644-7902
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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       |    AS2770
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    License Number State |    FL
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