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General NPI Number Information
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NPI Number | 1427229996
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Entity Type | Organization
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Legal Business Name | NATIONAL HEARING CARE CENTER
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Dates
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Enumeration Date | 03/12/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 7365 CARNELIAN ST STE 105
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1156
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Country | US
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Telephone | 909-477-6500
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Fax | 909-477-6383
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Provider Business Mailing Address
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Address Line | 7365 CARNELIAN ST STE 105
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-1156
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Country | US
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Telephone | 909-477-6500
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Fax | 909-477-6383
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MYONG-SU JEFF KIM
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Credential | H.A.
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Telephone | 909-477-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | HA7106
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License Number State | CA
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