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General NPI Number Information
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NPI Number | 1154649119
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Entity Type | Organization
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Legal Business Name | PENINSULA HEARING CENTER, INC
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Dates
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Enumeration Date | 05/14/2010
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1310 ROSECRANS ST SUITE A
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City | SAN DIEGO
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State | CA
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Zip | 92106-2643
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Country | US
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Telephone | 619-756-7848
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Fax | 619-564-7056
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Provider Business Mailing Address
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Address Line | 1310 ROSECRANS ST SUITE A
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City | SAN DIEGO
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State | CA
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Zip | 92106-2643
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Country | US
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Telephone | 619-756-7848
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Fax | 619-564-7056
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Authorized Official
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Title or Position | MANAGER
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Name | DENA RISO
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Credential | AUD
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Telephone | 619-756-7848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #3
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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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