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General NPI Number Information
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NPI Number | 1225444235
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Entity Type | Organization
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Legal Business Name | HEARING AID SPECIALISTS, INC
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 07/10/2014
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Provider Practice Location Address
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Address Line | 9153 RESEDA BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3031
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Country | US
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Telephone | 818-701-5484
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Fax |
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Provider Business Mailing Address
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Address Line | 9153 RESEDA BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3031
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Country | US
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Telephone | 818-701-5484
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | JOEL LIPIN
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Credential | DISPENSER
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Telephone | 818-701-5484
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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 | HA1477
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License Number State | CA
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