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General NPI Number Information
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NPI Number | 1447014097
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Entity Type | Organization
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Legal Business Name | FAMILY HEARING CENTERS LLC
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 925 RIDERS CLUB RD
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City | ONALASKA
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State | WI
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Zip | 54650-2041
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Country | US
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Telephone | 608-519-0693
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Fax |
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Provider Business Mailing Address
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Address Line | N5149 GREEN COULEE RD
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City | ONALASKA
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State | WI
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Zip | 54650-8208
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Country | US
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Telephone | 507-458-7991
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT A LARSON
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Credential |
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Telephone | 507-458-7991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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