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General NPI Number Information
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NPI Number | 1154647246
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Entity Type | Organization
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Legal Business Name | KANSAS HEARINGTECHNOLOGIES
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Dates
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Enumeration Date | 04/14/2010
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Last Update Date | 04/14/2010
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Provider Practice Location Address
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Address Line | 4600 W KELLOGG DR
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City | WICHITA
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State | KS
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Zip | 67209-2568
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Country | US
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Telephone | 316-945-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 3916 E SKINNER ST
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City | WICHITA
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State | KS
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Zip | 67218-4054
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Country | US
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Telephone | 316-773-5252
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Fax | 316-721-5995
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Authorized Official
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Title or Position | HEARING CONSULTANT
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Name | MR. WALLY SHUTT
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Credential | BC-HIS
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Telephone | 316-945-9200
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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 | SL 1455
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | SL 1391
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | SL 1231
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | SL908
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License Number State | KS
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