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General NPI Number Information
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NPI Number | 1225359086
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Entity Type | Organization
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Legal Business Name | COMPLETE EAR CARE, LLC
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 208 S CHESTNUT ST
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City | SEYMOUR
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State | IN
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Zip | 47274-2328
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Country | US
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Telephone | 812-523-6666
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Fax | 812-522-5599
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Provider Business Mailing Address
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Address Line | 208 S CHESTNUT ST
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City | SEYMOUR
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State | IN
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Zip | 47274-2328
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Country | US
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Telephone | 812-523-6666
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Fax | 812-522-5599
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Authorized Official
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Title or Position | CHAIRMAN
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Name | USHA HEBBAR
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Credential | PH.D., CCC-A
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Telephone | 812-523-6666
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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 | 2300289
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License Number State | IN
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