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General NPI Number Information
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NPI Number | 1427203041
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Entity Type | Organization
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Legal Business Name | ALPHAHEARINGAIDCENTER
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 615 MONTOUR BLVD
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City | DANVILLE
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State | PA
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Zip | 17821-9112
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Country | US
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Telephone | 570-275-3917
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Fax | 570-275-4701
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Provider Business Mailing Address
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Address Line | 615 MONTOUR BLVD
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City | DANVILLE
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State | PA
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Zip | 17821-9112
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Country | US
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Telephone | 570-275-3917
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Fax | 570-275-4701
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Authorized Official
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Title or Position | OWNER FITTER
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Name | MR. ALFONS M SMOKOWICZ
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Credential |
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Telephone | 570-275-3917
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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 | FO2134
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License Number State | PA
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