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General NPI Number Information
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NPI Number | 1154569531
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Entity Type | Organization
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Legal Business Name | HEARING HEALTH CENTERS, P.C.
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Dates
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Enumeration Date | 01/23/2009
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Last Update Date | 01/23/2009
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Provider Practice Location Address
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Address Line | 1039 OXFORD ST STE 1
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City | WORTHINGTON
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State | MN
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Zip | 56187-1693
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Country | US
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Telephone | 507-376-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 119 E 5TH ST PO BOX 17
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City | SPENCER
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State | IA
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Zip | 51301-5012
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Country | US
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Telephone | 712-262-7774
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RALPH DAVID NELSON
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Credential | AU.D.
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Telephone | 712-262-7774
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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 | 8435
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 7228
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 7668
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 2032
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License Number State | MN
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