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General NPI Number Information
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NPI Number | 1184268336
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Entity Type | Organization
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Legal Business Name | ELEVATED HEARING CENTER, LLC
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Dates
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Enumeration Date | 10/31/2019
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Last Update Date | 10/31/2019
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Provider Practice Location Address
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Address Line | 112 HARCOURT RD STE 4
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City | MOUNT VERNON
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State | OH
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Zip | 43050-3944
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Country | US
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Telephone | 740-326-9082
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Fax |
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Provider Business Mailing Address
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Address Line | 112 HARCOURT RD STE 4
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City | MOUNT VERNON
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State | OH
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Zip | 43050-3944
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Country | US
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Telephone | 740-326-9082
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Fax |
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Authorized Official
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Title or Position | OWNER/AUDIOLGIST
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Name | DR. ROBIN MELISSA GRAHAM
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Credential | AU.D.
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Telephone | 614-205-8482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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