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General NPI Number Information
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NPI Number | 1295469484
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Entity Type | Individual
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Provider Name | MICHAEL ELI HERSHEY
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Gender | Male
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Dates
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Enumeration Date | 07/13/2022
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Last Update Date | 10/05/2023
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Provider Practice Location Address
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Address Line | 486 S OAK ST STE 105
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City | COLVILLE
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State | WA
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Zip | 99114-2751
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Country | US
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Telephone | 702-596-8867
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Fax |
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Provider Business Mailing Address
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Address Line | 486 S OAK ST STE 105
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City | COLVILLE
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State | WA
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Zip | 99114-2751
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Country | US
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Telephone | 702-596-8867
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | HA-0401
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License Number State | WA
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