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General NPI Number Information
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NPI Number | 1568670412
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Entity Type | Organization
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Legal Business Name | EAR CARE HEARING AID CENTER
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1229 ROUTE 300 SUITE 4
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City | NEWBURGH
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State | NY
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Zip | 12550
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Country | US
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Telephone | 845-567-2480
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Fax | 845-567-2482
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Provider Business Mailing Address
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Address Line | 1229 ROUTE 300 SUITE 4
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City | NEWBURGH
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State | NY
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Zip | 12550
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Country | US
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Telephone | 845-567-2480
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Fax | 845-567-2482
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Authorized Official
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Title or Position | OWNER OFFICE MANAGER
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Name | MR. DAMON THOMAS BRECHEISEN
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Credential | HEARING SPECIALIST
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Telephone | 845-567-2480
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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 | 15000012029
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License Number State | NY
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