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General NPI Number Information
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NPI Number | 1558899419
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Entity Type | Organization
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Legal Business Name | KENTUCIANA HEARING AIDS, INC
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 05/23/2017
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Provider Practice Location Address
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Address Line | 636 SOUTHTOWN BLVD STE 5-400
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City | OWENSBORO
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State | KY
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Zip | 42303-7746
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Country | US
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Telephone | 800-976-3380
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Fax |
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Provider Business Mailing Address
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Address Line | 636 SOUTHTOWN BLVD STE 5-400
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City | OWENSBORO
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State | KY
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Zip | 42303-7746
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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 | OWNER
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Name | LISA VIRGINIA LYNN PHILLIPI
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Credential |
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Telephone | 800-976-3380
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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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