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General NPI Number Information
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NPI Number | 1508193434
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Entity Type | Organization
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Legal Business Name | CONTRA COSTA HEARING AID CENTER, INC.
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 1196 BOULEVARD WAY SUITE 1
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City | WALNUT CREEK
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State | CA
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Zip | 94595-1193
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Country | US
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Telephone | 925-658-1290
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Fax | 925-884-8013
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Provider Business Mailing Address
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Address Line | 1196 BOULEVARD WAY SUITE 1
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City | WALNUT CREEK
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State | CA
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Zip | 94595-1193
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Country | US
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Telephone | 925-658-1290
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Fax | 925-884-8013
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Authorized Official
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Title or Position | CFO
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Name | MR. RACHELLE HILL
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Credential |
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Telephone | 925-658-1290
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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 | HA7306
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License Number State | CA
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