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General NPI Number Information
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NPI Number | 1255685616
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Entity Type | Organization
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Legal Business Name | BARRE OPTICIANS AND HEARING AID CENTER
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Dates
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Enumeration Date | 11/06/2012
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 395 MAIN STREET SOUTH
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City | BARRE PLAINS
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State | MA
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Zip | 01005
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Country | US
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Telephone | 978-355-2191
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Fax | 978-355-2020
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Provider Business Mailing Address
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Address Line | PO BOX 78
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City | SOUTH BARRE
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State | MA
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Zip | 01074-0078
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Country | US
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Telephone | 978-355-2191
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Fax | 978-355-2020
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | MR. SALVATORE N IMPERATO
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Credential |
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Telephone | 978-355-2191
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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 | 0034
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License Number State | MA
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