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General NPI Number Information
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NPI Number | 1265896302
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Entity Type | Organization
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Legal Business Name | HEARSITE, INC
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Dates
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Enumeration Date | 04/05/2016
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 5550 WILD ROSE LN SUITE 400
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5350
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Country | US
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Telephone | 888-862-2370
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Fax | 515-218-9008
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Provider Business Mailing Address
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Address Line | 5550 WILD ROSE LN SUITE 400
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City | WEST DES MOINES
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State | IA
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Zip | 50266-5350
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Country | US
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Telephone | 888-862-2370
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Fax | 515-218-9008
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | MR. LUKE JORGENSEN
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Credential |
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Telephone | 888-862-2370
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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 | 1014
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License Number State | IA
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