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General NPI Number Information
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NPI Number | 1356671705
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Entity Type | Organization
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Legal Business Name | GREENSBURG HEARING AID CENTER LLC
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Dates
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Enumeration Date | 01/07/2010
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Last Update Date | 01/07/2010
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Provider Practice Location Address
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Address Line | 5125 STATE ROUTE 30 EASTGATE PLAZA SUITE 330
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City | GREENSBURG
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State | PA
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Zip | 15601-6692
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Country | US
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Telephone | 724-836-4327
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Fax | 724-836-1083
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Provider Business Mailing Address
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Address Line | 415 HOLLYWOOD ST
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City | BELLE VERNON
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State | PA
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Zip | 15012-2703
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Country | US
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Telephone | 724-263-3912
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Fax | 724-836-1083
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. GEORGE M. MICHENER JR.
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Credential |
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Telephone | 724-263-3912
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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 | D0094
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License Number State | PA
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