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General NPI Number Information
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NPI Number | 1417277484
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Entity Type | Organization
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Legal Business Name | HEARING AND BALANCE INSTITUTE OF THE ROCKIES, INC.
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 07/29/2013
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Provider Practice Location Address
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Address Line | 9695 S YOSEMITE ST SUITE 356
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City | LONE TREE
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State | CO
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Zip | 80124-2888
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Country | US
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Telephone | 303-993-8832
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Fax | 303-954-8316
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Provider Business Mailing Address
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Address Line | 9695 S YOSEMITE ST SUITE 356
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City | LONE TREE
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State | CO
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Zip | 80124-2888
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Country | US
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Telephone | 303-993-8832
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Fax | 303-954-8316
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY/PRESIDENT
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Name | DR. TERRI EVELYN IVES
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Credential | AU.D.
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Telephone | 303-993-8832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 559
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License Number State | CO
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