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General NPI Number Information
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NPI Number | 1346860640
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Entity Type | Organization
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Legal Business Name | HEARING HEALTH SOLUTIONS LLC
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/26/2020
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Provider Practice Location Address
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Address Line | 1713 S BANKER ST STE B
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City | EFFINGHAM
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State | IL
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Zip | 62401-2748
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Country | US
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Telephone | 618-791-4065
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Fax | 888-441-3611
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Provider Business Mailing Address
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Address Line | 802 W MADISON ST
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City | O FALLON
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State | IL
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Zip | 62269-1030
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Country | US
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Telephone | 618-791-4065
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Fax | 888-441-3611
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Authorized Official
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Title or Position | OWNER/HEARING AID SPECIALIST
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Name | MR. CHRISTOPHER REED MOORE
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Credential | HIS
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Telephone | 618-791-4065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355A2700X
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Taxonomy Name | Audiology Assistant
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License Number |
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License Number State |
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