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General NPI Number Information
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NPI Number | 1225104003
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Entity Type | Organization
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Legal Business Name | HEARING SERVICES OF BAD AXE
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Dates
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Enumeration Date | 11/25/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1252 SAND BEACH RD
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City | BAD AXE
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State | MI
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Zip | 48413-8817
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Country | US
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Telephone | 989-269-4327
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Fax | 989-269-2251
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Provider Business Mailing Address
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Address Line | 1252 SAND BEACH RD
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City | BAD AXE
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State | MI
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Zip | 48413-8817
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Country | US
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Telephone | 989-269-4327
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Fax | 989-269-2251
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Authorized Official
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Title or Position | DIRECTOR
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Name | DIANE LOUISE KGLIN
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Credential | MA CC-A
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Telephone | 989-269-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3501001531
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License Number State | MI
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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 |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State | MI
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