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General NPI Number Information
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NPI Number | 1427760941
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Entity Type | Organization
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Legal Business Name | PRO HEARING CARE LLC
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Dates
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Enumeration Date | 12/15/2022
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Last Update Date | 12/15/2022
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Provider Practice Location Address
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Address Line | 720 N ROCHESTER ST
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City | MUKWONAGO
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State | WI
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Zip | 53149-1188
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Country | US
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Telephone | 262-269-5107
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Fax |
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Provider Business Mailing Address
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Address Line | 720 N ROCHESTER ST
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City | MUKWONAGO
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State | WI
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Zip | 53149-1188
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Country | US
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Telephone | 262-269-5107
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NOAH D LANGE
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Credential | H.I.S.
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Telephone | 262-844-9027
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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 |
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License Number State |
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