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General NPI Number Information
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NPI Number | 1184840050
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Entity Type | Organization
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Legal Business Name | ASSOCIATED HEARING AID CORPORATION
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 112 KASSON RD
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City | CAMILLUS
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State | NY
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Zip | 13031-2233
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Country | US
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Telephone | 315-295-2153
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Fax | 315-295-2154
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Provider Business Mailing Address
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Address Line | 112 KASSON RD
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City | CAMILLUS
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State | NY
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Zip | 13031-2233
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Country | US
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Telephone | 315-295-2153
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Fax | 315-295-2154
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DAVID BUGIN
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Credential | H.I.S.
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Telephone | 315-295-2153
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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 | 15000015043
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License Number State | NY
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