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General NPI Number Information
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NPI Number | 1194277061
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Entity Type | Organization
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Legal Business Name | LANE COUNTY HEARING, INC
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 12/01/2016
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Provider Practice Location Address
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Address Line | 816 BELTLINE RD
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1091
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Country | US
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Telephone | 541-746-7671
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Fax | 541-746-2625
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Provider Business Mailing Address
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Address Line | 816 BELTLINE RD
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City | SPRINGFIELD
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State | OR
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Zip | 97477-1091
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Country | US
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Telephone | 541-746-7671
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Fax | 541-746-2625
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. SCOTT C. ANDERSON
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Credential | AU.D.
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Telephone | 541-378-8998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 30861
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 30861
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License Number State | OR
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