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General NPI Number Information
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NPI Number | 1508160573
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEARING CARE SERVICES, INC
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 3006 N HIGH ST SUITE C
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City | COLUMBUS
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State | OH
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Zip | 43202-1145
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Country | US
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Telephone | 614-447-9671
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Fax | 614-261-9074
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Provider Business Mailing Address
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Address Line | 3006 N HIGH ST SUITE C
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City | COLUMBUS
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State | OH
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Zip | 43202-1145
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Country | US
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Telephone | 614-447-9671
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Fax | 614-261-9074
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | DR. PAUL S NISWANDER
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Credential | PHD
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Telephone | 614-447-9671
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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 | A-0153
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License Number State | OH
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