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General NPI Number Information
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NPI Number | 1255685749
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Entity Type | Organization
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Legal Business Name | HEARING AND BALANCE, LLC
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Dates
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Enumeration Date | 11/05/2012
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 5 REVERE DR STE 400
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City | NORTHBROOK
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State | IL
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Zip | 60062-1566
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Country | US
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Telephone | 847-509-7331
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Fax | 847-509-7336
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Provider Business Mailing Address
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Address Line | 5 REVERE DR STE 400
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City | NORTHBROOK
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State | IL
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Zip | 60062-1566
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Country | US
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Telephone | 847-509-7331
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Fax | 847-509-7336
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Authorized Official
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Title or Position | MANAGER
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Name | MR. CHRISTOPHER TONNER
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Credential |
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Telephone | 847-462-6962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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