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General NPI Number Information
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NPI Number | 1164866760
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Entity Type | Organization
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Legal Business Name | ABSOLUTE HEARING AID CENTER LLC
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 9212 E MONTGOMERY AVE STE 101
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-4266
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Country | US
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Telephone | 509-315-5590
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Fax |
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Provider Business Mailing Address
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Address Line | 9212 E MONTGOMERY AVE STE 101
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City | SPOKANE VALLEY
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State | WA
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Zip | 99206-4266
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Country | US
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Telephone | 509-315-5590
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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. RYAN M KYLE
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Credential |
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Telephone | 509-315-5590
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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 | 3708
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License Number State | WA
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