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General NPI Number Information
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NPI Number | 1558055673
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Entity Type | Organization
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Legal Business Name | KEY HEARING AIDS OF VALPARAISO LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 2121 BURLINGTON BEACH RD
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City | VALPARAISO
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State | IN
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Zip | 46383
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Country | US
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Telephone | 888-539-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 40 EXECUTIVE DR STE E
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City | CARMEL
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State | IN
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Zip | 46032-5478
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Country | US
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Telephone | 831-277-2694
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | GANESH KRIPAPURI
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Credential |
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Telephone | 831-277-2694
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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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