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General NPI Number Information
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NPI Number | 1508355454
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Entity Type | Organization
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Legal Business Name | EAR AND HEARING
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 28481 7 MILE RD
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City | LIVONIA
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State | MI
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Zip | 48152-3501
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Country | US
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Telephone | 248-727-2788
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Fax |
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Provider Business Mailing Address
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Address Line | 9639 WINSTON
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City | REDFORD
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State | MI
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Zip | 48239-1694
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Country | US
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Telephone | 248-943-7513
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST, SOLE PROPRIETOR
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Name | DR. JULIE FAYE BIERNACKI
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Credential | AU.D.
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Telephone | 248-727-2788
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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 | 1601000704
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License Number State | MI
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