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General NPI Number Information
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NPI Number | 1164722096
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Entity Type | Organization
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Legal Business Name | BEAVER HEARING AID CENTER
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 252 N KESWICK AVE
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City | GLENSIDE
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State | PA
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Zip | 19038-4804
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Country | US
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Telephone | 215-885-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 252 N KESWICK AVE
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City | GLENSIDE
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State | PA
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Zip | 19038-4804
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Country | US
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Telephone | 215-885-4327
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. HAROLD SALKOVITZ
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Credential |
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Telephone | 215-322-5637
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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 | D00484
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License Number State | PA
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