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General NPI Number Information
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NPI Number | 1396098265
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Entity Type | Organization
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Legal Business Name | NORTHLAND HEARING CENTERS, INC.
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Dates
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Enumeration Date | 10/17/2012
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 3986 FETTLER PARK DRIVE
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City | DUMFRIES
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State | VA
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Zip | 22025-1997
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Country | US
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Telephone | 703-221-8307
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Fax | 703-221-8548
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Provider Business Mailing Address
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Address Line | 6700 WASHINGTON AVE S
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER OF REVENUE CYCLE
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Name | BEE XIONG
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Credential |
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Telephone | 952-995-6601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 12L24992
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 12L24992
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 14L05818
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License Number State | VA
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