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General NPI Number Information
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NPI Number | 1467008581
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Entity Type | Organization
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Legal Business Name | SGV HEARING AIDS LLC
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 08/14/2019
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Provider Practice Location Address
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Address Line | 6751 WASHINGTON AVE
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City | WHITTIER
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State | CA
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Zip | 90601-4309
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Country | US
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Telephone | 562-821-1285
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Fax |
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Provider Business Mailing Address
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Address Line | 6751 WASHINGTON AVE
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City | WHITTIER
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State | CA
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Zip | 90601-4309
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Country | US
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Telephone | 562-821-1285
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JASON ORTEGA
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Credential |
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Telephone | 714-271-6353
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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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