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General NPI Number Information
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NPI Number | 1447769401
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Entity Type | Organization
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Legal Business Name | HANLEY HEARING CENTERS
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6100 COLDBROOK AVE
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City | LAKEWOOD
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State | CA
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Zip | 90713-1028
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Country | US
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Telephone | 562-679-7148
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 COLDBROOK AVE
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City | LAKEWOOD
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State | CA
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Zip | 90713-1028
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Country | US
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Telephone | 562-679-7148
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT CHARLES HANLEY SR.
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Credential | BC-HIS
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Telephone | 562-679-7148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355A2700X
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Taxonomy Name | Audiology Assistant
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License Number | HA7517
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License Number State | CA
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