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General NPI Number Information
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NPI Number | 1396152112
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Entity Type | Organization
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Legal Business Name | HEARUSA
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 8 S MICHIGAN AVE SUITE 2212
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City | CHICAGO
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State | IL
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Zip | 60603
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Country | US
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Telephone | 312-346-1136
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Fax |
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Provider Business Mailing Address
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Address Line | 1421 E HARRISON AVE
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City | WHEATON
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State | IL
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Zip | 60187-4423
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Country | US
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Telephone | 630-234-6847
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Fax |
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Authorized Official
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Title or Position | HUMAN RESOURCES
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Name | JACKIE KIMBLE
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Credential |
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Telephone | 561-478-8770
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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 | 147001511
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License Number State | IN
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