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General NPI Number Information
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NPI Number | 1346756202
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Entity Type | Individual
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Provider Name | JULIUS VIEL B MARIANO HIS
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Gender | Male
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Dates
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Enumeration Date | 12/14/2017
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Last Update Date | 02/09/2022
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Provider Practice Location Address
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Address Line | 2149 E GARVEY AVE N STE A3
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City | WEST COVINA
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State | CA
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Zip | 91791-1508
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Country | US
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Telephone | 626-339-6449
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Fax | 626-339-6799
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Provider Business Mailing Address
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Address Line | 750 N COMMONS DR STE 200
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City | AURORA
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State | IL
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Zip | 60504-7940
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Country | US
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Telephone | 630-303-5380
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Fax | 630-303-5385
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 8293
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License Number State | CA
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