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General NPI Number Information
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NPI Number | 1356672380
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Entity Type | Organization
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Legal Business Name | SHURSON HEARING AND SPEECH CENTER
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Dates
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Enumeration Date | 01/14/2010
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 2316 W WHITENDALE AVE STE A
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City | VISALIA
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State | CA
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Zip | 93277-6131
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Country | US
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Telephone | 559-625-8960
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Fax | 559-625-8962
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Provider Business Mailing Address
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Address Line | 2316 W WHITENDALE AVE STE A
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City | VISALIA
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State | CA
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Zip | 93277-6131
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Country | US
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Telephone | 559-625-8960
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Fax | 559-625-8962
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Authorized Official
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Title or Position | MANAGER
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Name | DOLORES MARIA MALDONADO
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Credential |
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Telephone | 559-625-8960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU510
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | HA1145
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP1018
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP23359
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License Number State | CA
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