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NPI 1417296831

NPI 1417296831 : NORTHLAND HEARING CENTERS, INC. : SURPRISE, AZ

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General NPI Number Information
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    NPI Number           |    1417296831
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    Entity Type          |    Organization 
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    Legal Business Name  |    NORTHLAND HEARING CENTERS, INC. 
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Dates
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    Enumeration Date     |    02/05/2013
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    Last Update Date     |    05/08/2024
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Provider Practice Location Address
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    Address Line         |    18747 N REEMS RD STE 540 
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    City                 |    SURPRISE
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    State                |    AZ
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    Zip                  |    85374-8645
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    Country              |    US
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    Telephone            |    623-214-1700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6700 WASHINGTON AVE S 
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    City                 |    EDEN PRAIRIE
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    State                |    MN
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    Zip                  |    55344-3405
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    Country              |    US
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    Telephone            |    800-328-8602
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    Fax                  |    
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Authorized Official
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    Title or Position    |    REVENUE CYCLE MANAGER
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    Name                 |     BEE  XIONG 
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    Credential           |    
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    Telephone            |    952-995-6601
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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       |    1016445
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    License Number State |    AZ
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Taxonomy #2
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    Taxonomy Code        |    332S00000X
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    Taxonomy Name        |    Hearing Aid Equipment
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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        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    1016445
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    License Number State |    AZ
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Taxonomy #4
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    Taxonomy Code        |    261QH0700X
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    Taxonomy Name        |    Hearing and Speech Clinic/Center
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    License Number       |    
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    License Number State |    
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