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General NPI Number Information
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NPI Number | 1548942410
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Entity Type | Organization
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Legal Business Name | TREE CITY HEARING LLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 905 W KEEGANS WAY STE 11
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City | GREENSBURG
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State | IN
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Zip | 47240-3403
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Country | US
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Telephone | 812-663-5163
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Fax | 812-663-2732
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Provider Business Mailing Address
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Address Line | 905 W KEEGANS WAY STE 11
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City | GREENSBURG
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State | IN
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Zip | 47240-3403
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Country | US
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Telephone | 812-663-5163
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Fax | 812-663-2732
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA KAPPEL
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Credential | AUD
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Telephone | 765-412-2038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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