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General NPI Number Information
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NPI Number | 1154914711
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Entity Type | Organization
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Legal Business Name | HEAR WITH MANNY
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Dates
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Enumeration Date | 02/15/2021
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Last Update Date | 02/15/2021
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Provider Practice Location Address
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Address Line | 204 WINDHAM ST
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City | SANTA CRUZ
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State | CA
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Zip | 95062-3351
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Country | US
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Telephone | 831-227-6362
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Fax | 888-327-2582
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Provider Business Mailing Address
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Address Line | 204 WINDHAM ST
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City | SANTA CRUZ
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State | CA
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Zip | 95062-3351
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Country | US
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Telephone | 831-227-6362
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Fax | 888-327-2582
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST/OWNER
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Name | MR. MANUEL DAVID OCANO I
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Credential | NBC-HIS
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Telephone | 831-227-6362
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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 |
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License Number State |
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