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NPI 1194862771

NPI 1194862771 : JESTER'S HEARING AID CENTER INC. : HEMET, CA

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General NPI Number Information
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    NPI Number           |    1194862771
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    Entity Type          |    Organization 
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    Legal Business Name  |    JESTER'S HEARING AID CENTER INC. 
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Dates
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    Enumeration Date     |    01/31/2007
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    Last Update Date     |    12/23/2009
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Provider Practice Location Address
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    Address Line         |    532 E FLORIDA AVE 
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    City                 |    HEMET
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    State                |    CA
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    Zip                  |    92543-4334
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    Country              |    US
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    Telephone            |    951-929-2122
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    Fax                  |    951-925-3432
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Provider Business Mailing Address
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    Address Line         |    532 E FLORIDA AVE 
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    City                 |    HEMET
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    State                |    CA
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    Zip                  |    92543-4334
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    Country              |    US
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    Telephone            |    951-929-2122
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    Fax                  |    951-925-3432
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ROBERT WAYNE JESTER 
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    Credential           |    
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    Telephone            |    951-929-2122
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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       |    HA1406
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    License Number State |    CA
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