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General NPI Number Information
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NPI Number | 1518404821
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Entity Type | Organization
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Legal Business Name | PINOLE HEARING AID CENTER LLC
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Dates
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Enumeration Date | 01/24/2017
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Last Update Date | 01/24/2017
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Provider Practice Location Address
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Address Line | 1700 SAN PABLO AVE STE F
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City | PINOLE
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State | CA
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Zip | 94564-2082
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Country | US
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Telephone | 510-724-1095
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 SAN PABLO AVE STE F
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City | PINOLE
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State | CA
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Zip | 94564-2082
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Country | US
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Telephone | 510-724-1095
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | MARC LAPIN
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Credential |
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Telephone | 443-615-4339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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