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General NPI Number Information
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NPI Number | 1265944797
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Entity Type | Organization
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Legal Business Name | SIMON HEARING, LLC
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Dates
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Enumeration Date | 10/24/2017
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 1022 BRYDEN AVE
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City | LEWISTON
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State | ID
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Zip | 83501-5353
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Country | US
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Telephone | 208-746-7022
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 851
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City | LEWISTON
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State | ID
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Zip | 83501-0851
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNE SIMON
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Credential |
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Telephone | 208-746-7022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AUD-2842
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License Number State | ID
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