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NPI 1235434564

NPI 1235434564 : BELTONE CENTRAL CALIFORNIA : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1235434564
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELTONE CENTRAL CALIFORNIA 
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Dates
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    Enumeration Date     |    01/18/2011
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    Last Update Date     |    08/02/2022
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Provider Practice Location Address
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    Address Line         |    7055 N MAPLE AVE STE 104 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-8012
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    Country              |    US
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    Telephone            |    559-326-0499
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    Fax                  |    559-705-1928
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Provider Business Mailing Address
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    Address Line         |    7055 N MAPLE AVE STE 104 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-8012
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    Country              |    US
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    Telephone            |    559-326-0499
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    Fax                  |    559-705-1928
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. DENNIS L. THOMAS 
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    Credential           |    BC-HIS
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    Telephone            |    559-593-1580
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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       |    HA 2570
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    License Number State |    CA
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