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General NPI Number Information
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NPI Number | 1285906610
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Entity Type | Organization
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Legal Business Name | HEARING PROFESSIONALS INC
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Dates
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Enumeration Date | 02/01/2012
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 116 S RUM RIVER DR STE 195
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City | PRINCETON
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State | MN
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Zip | 55371-1859
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Country | US
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Telephone | 763-389-9662
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Fax | 763-389-9676
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Provider Business Mailing Address
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Address Line | 116 S RUM RIVER DR STE 195
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City | PRINCETON
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State | MN
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Zip | 55371-1859
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Country | US
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Telephone | 763-389-9662
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Fax | 763-389-9676
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Authorized Official
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Title or Position | OWNER
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Name | ANDREA MARIE TJADEN
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Credential |
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Telephone | 320-583-0864
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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 |
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License Number State |
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