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General NPI Number Information
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NPI Number | 1417097783
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Entity Type | Organization
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Legal Business Name | E. PAUL DIETSCH HEARING AIDS, INC.
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 3952 30TH ST
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City | SAN DIEGO
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State | CA
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Zip | 92104-3005
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Country | US
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Telephone | 619-297-4145
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Fax | 619-297-0237
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Provider Business Mailing Address
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Address Line | 3952 30TH ST
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City | SAN DIEGO
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State | CA
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Zip | 92104-3005
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Country | US
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Telephone | 619-297-4145
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Fax | 619-297-0237
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. M. MONICA DIETSCH
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Credential |
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Telephone | 619-297-4145
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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 | HA499
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License Number State | CA
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