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General NPI Number Information
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NPI Number | 1306119623
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Entity Type | Organization
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Legal Business Name | HEARINGLIFE HEARING AID CENTER LLC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 1850 DOUGLAS BLVD STE 992
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City | ROSEVILLE
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State | CA
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Zip | 95661-3639
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Country | US
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Telephone | 916-784-3500
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Fax | 916-786-9001
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Provider Business Mailing Address
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Address Line | 1850 DOUGLAS BLVD STE 992
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City | ROSEVILLE
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State | CA
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Zip | 95661-3639
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Country | US
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Telephone | 916-784-3500
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Fax | 916-786-9001
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Authorized Official
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Title or Position | VP, REVENUE CYCLE & PAYER RELATIONS
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Name | BAHAR BAZMI
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Credential |
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Telephone | 412-260-1504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU1719
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2355A2700X
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Taxonomy Name | Audiology Assistant
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License Number | AU1719
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU1719
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License Number State | CA
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