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General NPI Number Information
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NPI Number | 1235397969
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Entity Type | Organization
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Legal Business Name | MICHIANA HEARING CARE CENTER, P.C.
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 1001 N HICKORY RD SUITE 8A
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City | SOUTH BEND
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State | IN
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Zip | 46615-3702
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Country | US
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Telephone | 574-232-3100
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Fax | 574-232-4100
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Provider Business Mailing Address
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Address Line | 1001 HICKORY ROAD SUITE 8A
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City | SOUTH BEND
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State | IN
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Zip | 46615-3700
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Country | US
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Telephone | 574-232-3100
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Fax | 574-232-4100
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHERYL ANN SHARP
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Credential | AUD
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Telephone | 574-232-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 0115322477
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License Number State | IN
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