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General NPI Number Information
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NPI Number | 1417161928
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Entity Type | Organization
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Legal Business Name | EARWORX, INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2120D COLLEGE AVE
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City | MODESTO
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State | CA
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Zip | 95350-3044
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Country | US
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Telephone | 209-521-8844
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Fax | 209-491-3641
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Provider Business Mailing Address
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Address Line | 2120D COLLEGE AVE
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City | MODESTO
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State | CA
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Zip | 95350-3044
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Country | US
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Telephone | 209-521-8844
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Fax | 209-491-3641
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MELANIE MANCINI
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Credential |
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Telephone | 209-521-8844
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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 | HT8139
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License Number State | CA
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