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NPI 1477951960

NPI 1477951960 : TROY HEARING CENTER : BIRMINGHAM, MI

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General NPI Number Information
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    NPI Number           |    1477951960
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    Entity Type          |    Organization 
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    Legal Business Name  |    TROY HEARING CENTER 
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Dates
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    Enumeration Date     |    12/15/2014
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    Last Update Date     |    12/15/2014
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Provider Practice Location Address
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    Address Line         |    725 S ADAMS RD STE 100
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    City                 |    BIRMINGHAM
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    State                |    MI
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    Zip                  |    48009-6902
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    Country              |    US
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    Telephone            |    248-792-2761
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    Fax                  |    248-792-2761
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Provider Business Mailing Address
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    Address Line         |    725 S ADAMS RD 
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    City                 |    BIRMINGHAM
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    State                |    MI
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    Zip                  |    48009-6902
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    Country              |    US
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    Telephone            |    248-792-2761
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    Fax                  |    248-792-2761
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ERIC  TERRIEN 
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    Credential           |    
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    Telephone            |    248-792-2761
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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       |    
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    License Number State |    
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