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General NPI Number Information
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NPI Number | 1184035131
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Entity Type | Organization
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Legal Business Name | BEULAH'S HEARING AID CENTER, LLC
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 23 EURY LN SUITE 5
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City | SOMERSET
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State | KY
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Zip | 42501-4115
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Country | US
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Telephone | 606-676-0013
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Fax | 606-676-0058
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Provider Business Mailing Address
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Address Line | 23 EURY LN SUITE 5
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City | SOMERSET
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State | KY
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Zip | 42501-4115
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Country | US
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Telephone | 606-676-0013
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Fax | 606-676-0058
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Authorized Official
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Title or Position | OWNER/HEARING INSTRUMENT SPECIALIST
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Name | MS. BEULAH N. JACKSON
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Credential | HEARING INSTRUMENT S
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Telephone | 606-676-0013
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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 | 0887
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License Number State | KY
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