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General NPI Number Information
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NPI Number | 1437225463
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Entity Type | Organization
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Legal Business Name | HEARING ZONE INC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 2314 CENTRAL AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4514
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Country | US
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Telephone | 510-865-8113
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Fax | 510-865-8115
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Provider Business Mailing Address
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Address Line | 2314 CENTRAL AVE
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City | ALAMEDA
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State | CA
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Zip | 94501-4514
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Country | US
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Telephone | 510-865-8113
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Fax | 510-865-8115
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Authorized Official
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Title or Position | OWNER
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Name | DR. GARR J CROOKSTON
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Credential | AU.D. CCC-A
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Telephone | 510-865-8113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 108267-4101
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License Number State | UT
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