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General NPI Number Information
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NPI Number | 1164676649
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Entity Type | Organization
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Legal Business Name | SOUND SUPPORT, INC
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Dates
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Enumeration Date | 11/10/2008
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Last Update Date | 11/10/2008
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Provider Practice Location Address
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Address Line | 610A E BIDWELL ST
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City | FOLSOM
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State | CA
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Zip | 95630-3121
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Country | US
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Telephone | 916-983-2942
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Fax | 916-983-6054
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Provider Business Mailing Address
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Address Line | 610A E BIDWELL ST
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City | FOLSOM
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State | CA
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Zip | 95630-3121
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Country | US
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Telephone | 916-983-2942
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Fax | 916-983-6054
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Authorized Official
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Title or Position | SECRETARY
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Name | MAVIS A. MANTHE
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Credential |
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Telephone | 916-983-2942
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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 | HA2469
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License Number State | CA
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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 | HA2179
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License Number State | CA
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