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General NPI Number Information
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NPI Number | 1225361892
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Entity Type | Organization
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Legal Business Name | HEINRICH ENTERPRISES, INC.
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | G-4080 MILLER RD
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City | FLINT
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State | MI
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Zip | 48507
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Country | US
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Telephone | 810-732-6200
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Fax | 810-732-8618
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Provider Business Mailing Address
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Address Line | G-4080 MILLER RD
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City | FLINT
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State | MI
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Zip | 48507
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Country | US
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Telephone | 810-732-6200
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Fax | 810-732-8618
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Authorized Official
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Title or Position | OWNER/PRACTITIONER
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Name | MICHAEL PATRICK JAREMBA
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Credential | BC-HIS
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Telephone | 810-732-6200
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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 | 3501003042
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License Number State | MI
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