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General NPI Number Information
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NPI Number | 1457807679
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Entity Type | Individual
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Provider Name | NICOLE M RINEHART HAD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 51122 ROMEO PLANK RD
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City | MACOMB
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State | MI
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Zip | 48042-4111
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Country | US
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Telephone | 586-473-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 E. SUNSET ROAD UNIT 96595
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City | LAS VEGAS
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State | NV
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Zip | 89193-1246
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Country | US
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Telephone | 702-798-0113
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Fax | 866-291-5242
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3501006412
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License Number State | MI
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