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General NPI Number Information
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NPI Number | 1336474634
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Entity Type | Organization
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Legal Business Name | CRYSTAL CLEAR HEARING INC.
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Dates
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Enumeration Date | 10/05/2009
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Last Update Date | 10/05/2009
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Provider Practice Location Address
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Address Line | 90-150 ROUTE 206
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City | STANHOPE
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State | NJ
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Zip | 07874-3131
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Country | US
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Telephone | 973-347-4327
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Fax | 973-347-4302
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Provider Business Mailing Address
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Address Line | 90-150 ROUTE 206
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City | STANHOPE
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State | NJ
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Zip | 07874
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Country | US
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Telephone | 973-347-4327
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Fax | 973-347-4302
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | MS. AMBER DAWN YARBROUGH
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Credential | BC-HIS
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Telephone | 973-347-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 332S00000X
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License Number State | NJ
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