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General NPI Number Information
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NPI Number | 1407527047
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Entity Type | Organization
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Legal Business Name | HUSKERLAND HEARING CENTER LLC
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 819 N DIERS AVE STE 1
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4957
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Country | US
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Telephone | 308-395-8107
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Fax |
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Provider Business Mailing Address
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Address Line | 819 N DIERS AVE STE 1
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City | GRAND ISLAND
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State | NE
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Zip | 68803-4957
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Country | US
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Telephone | 308-395-8107
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAMERON ELLISON
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Credential | HIS
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Telephone | 308-379-4773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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