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General NPI Number Information
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NPI Number | 1437495124
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Entity Type | Organization
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Legal Business Name | CINCINNATI HEARING AND TINNITUS
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Dates
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Enumeration Date | 12/27/2012
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Last Update Date | 03/31/2015
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Provider Practice Location Address
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Address Line | 9723 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242-7207
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Country | US
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Telephone | 513-675-8595
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Fax | 513-793-9576
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Provider Business Mailing Address
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Address Line | 9723 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242-7207
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Country | US
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Telephone | 513-675-8595
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Fax | 513-793-9576
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Authorized Official
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Title or Position | PRESIDENT/AUDIOLOGIST
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Name | DR. MARLO BAILEY LAWRENCE
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Credential | AUD
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Telephone | 513-675-8595
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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 | A01360
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License Number State | OH
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