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General NPI Number Information
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NPI Number | 1376935833
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Entity Type | Organization
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Legal Business Name | C & C HEARING HEALTH, LLC
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Dates
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Enumeration Date | 02/20/2015
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 73131 COUNTRY CLUB DR C5
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City | PALM DESERT
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State | CA
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Zip | 92260-2339
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Country | US
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Telephone | 760-568-1300
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Fax | 760-568-1270
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Provider Business Mailing Address
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Address Line | 73131 COUNTRY CLUB DR C5
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City | PALM DESERT
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State | CA
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Zip | 92260-2339
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Country | US
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Telephone | 760-568-1300
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Fax | 760-568-1270
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. CHARLES E ERICKSON
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Credential | HEARING AID DISPENSE
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Telephone | 760-568-1300
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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 | HA 7892
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License Number State | CA
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