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General NPI Number Information
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NPI Number | 1235676057
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Entity Type | Organization
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Legal Business Name | THE HEARING GROUP LLC
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 848 LIVINGSTON RD STE 105
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City | CROSSVILLE
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State | TN
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Zip | 38555-6719
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Country | US
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Telephone | 931-707-9543
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Fax | 931-707-9543
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Provider Business Mailing Address
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Address Line | 3644 PEAVINE RD
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City | CROSSVILLE
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State | TN
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Zip | 38571-7923
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Country | US
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Telephone | 931-709-0661
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Fax | 931-709-0661
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | MRS. MICHELE GOOD
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Credential | HIS
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Telephone | 931-707-9543
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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 | 836
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License Number State | TN
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