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General NPI Number Information
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NPI Number | 1407743750
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST HEARING CENTER OF WOODLAND PARK
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 509 SCOTT AVE STE 203B
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City | WOODLAND PARK
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State | CO
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Zip | 80863-1289
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Country | US
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Telephone | 719-624-0405
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Fax |
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Provider Business Mailing Address
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Address Line | 509 SCOTT AVE STE 203B
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City | WOODLAND PARK
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State | CO
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Zip | 80863-1289
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Country | US
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Telephone | 719-624-0405
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN DE VONEY
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Credential |
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Telephone | 805-231-2704
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #3
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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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