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General NPI Number Information
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NPI Number | 1457659294
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Entity Type | Organization
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Legal Business Name | CN HEARING CARE, INC
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 2555 LINCOLN HWY SUITE 108
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1936
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Country | US
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Telephone | 708-747-1198
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Fax | 708-747-5747
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Provider Business Mailing Address
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Address Line | 2555 LINCOLN HWY SUITE 108
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1936
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Country | US
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Telephone | 708-747-1198
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Fax | 708-747-5747
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | MS. CINDY SUE NICKLE
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Credential |
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Telephone | 708-747-1198
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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 | 2994
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License Number State | IL
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