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General NPI Number Information
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NPI Number | 1538547765
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Entity Type | Organization
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Legal Business Name | COLEMAN AND FALLON INC
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 12/22/2015
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Provider Practice Location Address
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Address Line | 696 PETALUMA BLVD N
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City | PETALUMA
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State | CA
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Zip | 94952-2847
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Country | US
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Telephone | 707-763-3161
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Fax | 707-763-9829
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Provider Business Mailing Address
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Address Line | 696 PETALUMA BLVD N
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City | PETALUMA
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State | CA
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Zip | 94952-2847
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Country | US
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Telephone | 707-763-3161
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Fax | 707-763-9829
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Authorized Official
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Title or Position | OWNER/HEARING AID SPECALIST
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Name | MR. DENNIS TOBIN
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Credential |
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Telephone | 510-724-1095
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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 | AT005897
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU2679
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 7468
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License Number State | CA
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