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General NPI Number Information
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NPI Number | 1205166451
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Entity Type | Organization
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Legal Business Name | HEAR WELL CENTER
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 01/12/2010
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Provider Practice Location Address
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Address Line | 3801 KATELLA AVE SUITE #324
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-3338
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Country | US
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Telephone | 562-989-8101
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Fax | 562-989-8119
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Provider Business Mailing Address
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Address Line | 3660 ATLANTIC AVE
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City | LONG BEACH
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State | CA
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Zip | 90807-3418
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Country | US
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Telephone | 562-989-8101
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Fax | 562-989-8119
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Authorized Official
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Title or Position | OWNER OF HEAR WELL CENTER
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Name | STEPHEN MARTINEZ
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Credential | AU.D.
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Telephone | 562-989-8101
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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 | AU1232
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License Number State | CA
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