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General NPI Number Information
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NPI Number | 1558676726
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Entity Type | Organization
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Legal Business Name | NORTHLAND HEARING CENTERS INC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 05/09/2024
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Provider Practice Location Address
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Address Line | 3138 KIMBALL AVE
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City | WATERLOO
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State | IA
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Zip | 50702-5253
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Country | US
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Telephone | 319-234-4360
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Fax | 319-235-5360
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Provider Business Mailing Address
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Address Line | 6700 WASHINGTON AVE S
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-3405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | REGIONAL SUPPORT SPECIALIST
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Name | XUE XIONG
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Credential |
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Telephone | 763-292-4745
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #4
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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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