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General NPI Number Information
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NPI Number | 1417290743
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Entity Type | Organization
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Legal Business Name | HEARING IMPROVEMENT CENTER OF MONROE, LLC
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Dates
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Enumeration Date | 04/04/2013
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 500 GREAT OAKS DR SUITE 13
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City | MONROE
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State | GA
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Zip | 30655-8225
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Country | US
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Telephone | 706-850-7048
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Fax |
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Provider Business Mailing Address
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Address Line | 500 GREAT OAKS DR SUITE 13
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City | MONROE
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State | GA
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Zip | 30655-8225
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | KERRY A COHEN
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Credential | AU.D.
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Telephone | 706-850-7048
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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 | AUD003649
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License Number State | GA
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