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General NPI Number Information
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NPI Number | 1386869626
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Entity Type | Organization
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Legal Business Name | MEDICAL HEARING CLINIC, INC
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 04/22/2008
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Provider Practice Location Address
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Address Line | 3903 HARRISON BLVD # 201
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City | OGDEN
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State | UT
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Zip | 84403-2314
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Country | US
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Telephone | 801-399-5014
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Fax | 801-399-0830
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Provider Business Mailing Address
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Address Line | 3903 HARRISON BLVD # 201
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City | OGDEN
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State | UT
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Zip | 84403-2314
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Country | US
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Telephone | 801-399-5014
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Fax | 801-399-0830
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM I OWENS
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Credential | MD
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Telephone | 801-399-5014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1596451205
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License Number State | UT
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