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General NPI Number Information
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NPI Number | 1578419453
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Entity Type | Organization
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Legal Business Name | MIRZA HEARING IDAHO INC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 703 E ALAMEDA RD
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City | POCATELLO
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State | ID
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Zip | 83201-3659
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Country | US
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Telephone | 208-237-5322
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Fax |
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Provider Business Mailing Address
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Address Line | 703 E ALAMEDA RD
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City | POCATELLO
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State | ID
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Zip | 83201-3659
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Country | US
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Telephone | 208-237-5322
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | USMAN MIRZA
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Credential | HIS
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Telephone | 208-840-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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