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General NPI Number Information
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NPI Number | 1437347341
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Entity Type | Organization
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Legal Business Name | MIAN, INC
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Dates
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Enumeration Date | 10/05/2007
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Last Update Date | 10/05/2007
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Provider Practice Location Address
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Address Line | 30659 HOOVER RD
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City | WARREN
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State | MI
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Zip | 48093-6537
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Country | US
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Telephone | 586-574-0074
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Fax | 586-574-0081
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Provider Business Mailing Address
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Address Line | 30659 HOOVER RD
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City | WARREN
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State | MI
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Zip | 48093-6537
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Country | US
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Telephone | 586-574-0074
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Fax | 586-574-0081
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELLIOTT GREENBERG
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Credential |
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Telephone | 989-799-6603
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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 | 1601000473
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License Number State | MI
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