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General NPI Number Information
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NPI Number | 1306731328
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Entity Type | Organization
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Legal Business Name | BEAR RIVER HEARING CENTER LLC
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Dates
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Enumeration Date | 06/10/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 687 N 300 E
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City | TREMONTON
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State | UT
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Zip | 84337-1111
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Country | US
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Telephone | 385-275-4919
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Fax |
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Provider Business Mailing Address
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Address Line | 390 W 100 S
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City | TREMONTON
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State | UT
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Zip | 84337-1748
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Country | US
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Telephone | 385-275-4919
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. ANDREA SUZETTE PAGE
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Credential | AUD
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Telephone | 385-275-4919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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