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General NPI Number Information
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NPI Number | 1508234006
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Entity Type | Organization
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Legal Business Name | HEARING HEALTHCARE, INC.
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Dates
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Enumeration Date | 09/14/2015
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Last Update Date | 09/14/2015
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Provider Practice Location Address
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Address Line | 1110 COLLEGE ST SE STE A
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City | LACEY
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State | WA
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Zip | 98503-5745
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Country | US
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Telephone | 360-923-0464
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Fax | 360-923-2438
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Provider Business Mailing Address
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Address Line | 1110 COLLEGE ST SE STE A
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City | LACEY
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State | WA
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Zip | 98503-5745
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Country | US
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Telephone | 360-923-0464
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Fax | 360-923-2438
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Authorized Official
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Title or Position | PRESIDENT
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Name | LONNIE E. BOWLING
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Credential |
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Telephone | 360-923-0464
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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 | HA00000950
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License Number State | WA
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