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General NPI Number Information
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NPI Number | 1285099861
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Entity Type | Organization
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Legal Business Name | HORIZON HEARING SERVICES
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 1101 S 25TH ST
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City | BETHANY
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State | MO
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Zip | 64424-2611
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Country | US
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Telephone | 660-425-7400
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Fax | 660-425-7404
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Provider Business Mailing Address
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Address Line | 1101 S 25TH ST P.O. BOX 503
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City | BETHANY
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State | MO
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Zip | 64424-2611
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Country | US
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Telephone | 660-425-7400
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Fax | 660-425-7404
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. ALISHA MICHELLE PURDUN
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Credential |
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Telephone | 660-425-7400
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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 | HG01305
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License Number State | MO
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