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General NPI Number Information
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NPI Number | 1356549430
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Entity Type | Organization
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Legal Business Name | SACRAMENTO HEARING, INC.
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 07/10/2007
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Provider Practice Location Address
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Address Line | 4944 SUNRISE BLVD STE I
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City | FAIR OAKS
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State | CA
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Zip | 95628-4941
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Country | US
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Telephone | 916-770-6622
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Fax | 916-252-2532
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Provider Business Mailing Address
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Address Line | 4944 SUNRISE BLVD STE I
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City | FAIR OAKS
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State | CA
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Zip | 95628-4941
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Country | US
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Telephone | 916-770-6622
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Fax | 916-252-2532
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MS. RACHEL BETH WALTERS
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Credential | M.A., CCC/A, FAAA
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Telephone | 916-770-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | AU1998
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License Number State | CA
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