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General NPI Number Information
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NPI Number | 1194787895
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Entity Type | Organization
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Legal Business Name | A HEARING HEALTHCARE CENTER INC.
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 1900 RITTENHOUSE SQ SUITE C-1
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5767
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Country | US
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Telephone | 215-985-4964
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Fax | 215-985-1678
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Provider Business Mailing Address
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Address Line | 1900 RITTENHOUSE SQ SUITE C-1
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City | PHILADELPHIA
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State | PA
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Zip | 19103-5767
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Country | US
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Telephone | 215-985-4964
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Fax | 215-985-1678
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Authorized Official
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Title or Position | DIRECTOR OF AUDIOLOGY
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Name | MS. LISA ANDREA BLACKMAN
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Credential | MA, CCC-A, FAAA
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Telephone | 215-985-4964
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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 | D00159
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License Number State | PA
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