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General NPI Number Information
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NPI Number | 1508018623
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Entity Type | Organization
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Legal Business Name | EXPERT HEARING & AUDIOLOGY, INC.
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/10/2013
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Provider Practice Location Address
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Address Line | 18315 CASCADE DR SUITE 100
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City | EDEN PRAIRIE
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State | MN
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Zip | 55347-1180
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Country | US
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Telephone | 952-294-4327
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Fax | 952-294-1027
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Provider Business Mailing Address
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Address Line | 750 MAIN ST SUITE 106
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City | MENDOTA HEIGHTS
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State | MN
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Zip | 55118-3764
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Country | US
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Telephone | 651-225-4327
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Fax | 651-225-4332
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Authorized Official
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Title or Position | SECRETARY
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Name | BARRY MATSUI
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Credential |
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Telephone | 952-294-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 7824
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License Number State | MN
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