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General NPI Number Information
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NPI Number | 1427456201
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Entity Type | Organization
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Legal Business Name | A-1 HEARING AID SERVICE LLC
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 12/10/2014
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Provider Practice Location Address
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Address Line | 206 W 3RD ST
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City | SALEM
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State | MO
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Zip | 65560-1336
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Country | US
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Telephone | 573-729-8313
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Fax | 573-729-2826
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Provider Business Mailing Address
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Address Line | PO BOX 519
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City | SALEM
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State | MO
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Zip | 65560-0519
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Country | US
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Telephone | 573-729-8313
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Fax | 573-729-2826
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Authorized Official
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Title or Position | SPECIALIST
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Name | KATHY-JO FACTEAU
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Credential | BC-HIS
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Telephone | 573-729-8313
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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 | 001031
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License Number State | MO
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