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General NPI Number Information
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NPI Number | 1205193703
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Entity Type | Organization
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Legal Business Name | ACOUSTICARE HEARING AND AUDIOLOGY
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 01/03/2013
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Provider Practice Location Address
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Address Line | 1011 BROOKSIDE RD STE 260
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City | ALLENTOWN
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State | PA
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Zip | 18106-9021
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Country | US
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Telephone | 610-216-4977
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Fax |
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Provider Business Mailing Address
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Address Line | 3935 HIGHFIELD LN
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City | CENTER VALLEY
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State | PA
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Zip | 18034-9680
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Country | US
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Telephone | 610-216-4977
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Fax | 610-965-0859
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL HENRY PENGELLY
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Credential | DOCTOR OF AUDIOLOGY
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Telephone | 610-216-4977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | AT00219
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License Number State | PA
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