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General NPI Number Information
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NPI Number | 1285756254
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Entity Type | Organization
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Legal Business Name | LOLA'S HEARING AID CENTER
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 316 LABREE AVE N
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701-2037
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Country | US
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Telephone | 218-681-4327
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Fax | 218-681-4327
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Provider Business Mailing Address
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Address Line | 316 LABREE AVE N
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701-2037
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Country | US
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Telephone | 218-681-4327
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Fax | 218-681-4327
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Authorized Official
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Title or Position | OWNER HEARING INSTRUMENT DISPENSER
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Name | MRS. LOLA M. WISKOW
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Credential | MN. CERT. 2269 BCHIS
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Telephone | 218-681-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 2269 MN CERT BCHIS
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License Number State | MN
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