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General NPI Number Information
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NPI Number | 1205333952
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Entity Type | Organization
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Legal Business Name | EAR CARE AND HEARING OF ST. LOUIS
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 11630 STUDT AVE STE 210
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City | CREVE COEUR
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State | MO
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Zip | 63141
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Country | US
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Telephone | 314-620-6019
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Fax |
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Provider Business Mailing Address
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Address Line | 11630 STUDT AVE STE 210
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7394
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Country | US
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Telephone | 314-532-0682
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST OWNER
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Name | MR. RICHARD M HOGAN II
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Credential | MS, CCC-A
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Telephone | 314-624-3636
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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 | 2001032148
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License Number State | MO
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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 | 2001032148
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License Number State | MO
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