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NPI 1326340019

NPI 1326340019 : BEST HEARING PRODUCTS : COON RAPIDS, MN

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General NPI Number Information
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    NPI Number           |    1326340019
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    Entity Type          |    Organization 
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    Legal Business Name  |    BEST HEARING PRODUCTS 
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Dates
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    Enumeration Date     |    12/01/2010
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    Last Update Date     |    12/01/2010
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Provider Practice Location Address
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    Address Line         |    12737 RIVERDALE BLVD NW 
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    City                 |    COON RAPIDS
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    State                |    MN
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    Zip                  |    55448-1253
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    Country              |    US
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    Telephone            |    763-421-1688
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    Fax                  |    763-421-1788
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Provider Business Mailing Address
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    Address Line         |    2150 125TH LN NW 
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    City                 |    COON RAPIDS
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    State                |    MN
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    Zip                  |    55448-1565
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    Country              |    US
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    Telephone            |    763-421-1688
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    Fax                  |    763-421-1788
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. TIMOTHY V VOTAVA 
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    Credential           |    
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    Telephone            |    763-421-1688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    2512
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    License Number State |    MN
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