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General NPI Number Information
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NPI Number | 1316304595
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Entity Type | Organization
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Legal Business Name | BALANCE & HEARING RESOURCE CENTERS
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 2211 W MAGNOLIA BLVD SUITE 260
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City | BURBANK
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State | CA
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Zip | 91506-1753
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Country | US
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Telephone | 818-859-7730
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Fax | 818-859-7732
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Provider Business Mailing Address
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Address Line | 2211 W MAGNOLIA BLVD SUITE 260
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City | BURBANK
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State | CA
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Zip | 91506-1753
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Country | US
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Telephone | 818-859-7730
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Fax | 818-859-7732
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY LYNN FRINTNER
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Credential | AU.D.
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Telephone | 818-859-7730
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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 | AU1440
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License Number State | CA
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