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General NPI Number Information
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NPI Number | 1265837272
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Entity Type | Organization
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Legal Business Name | HEARING AID SERVICES
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 11/03/2014
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Provider Practice Location Address
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Address Line | 30 S MAIN ST
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City | LINTON
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State | IN
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Zip | 47441-1819
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Country | US
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Telephone | 812-847-4034
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Fax | 812-847-4308
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Provider Business Mailing Address
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Address Line | 30 S MAIN ST
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City | LINTON
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State | IN
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Zip | 47441-1819
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Country | US
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Telephone | 812-847-4034
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Fax | 812-847-4308
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL EARL SCHANTZ
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Credential | BC-HIS
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Telephone | 812-847-4034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 17000881A
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License Number State | IN
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