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General NPI Number Information
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NPI Number | 1255642211
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Entity Type | Organization
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Legal Business Name | CAMERON HEARING LLC
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Dates
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Enumeration Date | 06/24/2010
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Last Update Date | 06/24/2010
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Provider Practice Location Address
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Address Line | 700 HARRY L DR STE 150
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City | JOHNSON CITY
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State | NY
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Zip | 13790-1145
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Country | US
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Telephone | 607-797-3330
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Fax |
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Provider Business Mailing Address
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Address Line | 700 HARRY L DR STE 150
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City | JOHNSON CITY
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State | NY
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Zip | 13790-1145
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Country | US
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Telephone | 607-797-3330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK CHIP
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Credential |
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Telephone | 607-797-3330
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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 | 14000004661
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License Number State | NY
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