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General NPI Number Information
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NPI Number | 1215520713
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEARING CENTER, LLC
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Dates
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Enumeration Date | 02/16/2021
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Last Update Date | 08/19/2021
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Provider Practice Location Address
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Address Line | 194 PLEASANT ST STE 1
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City | CONCORD
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State | NH
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Zip | 03301-2952
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Country | US
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Telephone | 603-415-3277
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Fax | 603-415-0055
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Provider Business Mailing Address
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Address Line | 194 PLEASANT ST STE 1
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City | CONCORD
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State | NH
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Zip | 03301-2952
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Country | US
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Telephone | 603-415-3277
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Fax | 603-415-0055
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DWIGHT ROMULO VALDEZ
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Credential | MA, FAAA
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Telephone | 604-415-3277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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