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General NPI Number Information
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NPI Number | 1548134000
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Entity Type | Organization
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Legal Business Name | CLEARCAST HEARING, LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 04/01/2026
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Provider Practice Location Address
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Address Line | 18447 W 8 MILE RD
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City | DETROIT
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State | MI
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Zip | 48219-1520
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Country | US
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Telephone | 312-869-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 25704 SHORELINE DR
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City | NOVI
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State | MI
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Zip | 48374-2170
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Country | US
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Telephone | 313-495-7499
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SREEKANT CHERUKURI
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Credential | MD
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Telephone | 313-495-7499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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