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General NPI Number Information
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NPI Number | 1578934006
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Entity Type | Organization
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Legal Business Name | LIFE HEARING AND AUDIOLOGY CLINICS
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 10/09/2015
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Provider Practice Location Address
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Address Line | 720 GOODLETTE FRANK RD STE 200
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City | NAPLES
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State | FL
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Zip | 34102-5656
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Country | US
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Telephone | 239-649-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 720 GOODLETTE FRANK RD STE 200
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City | NAPLES
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State | FL
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Zip | 34102-5656
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Country | US
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Telephone | 239-649-5433
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. DONALD KLEINDL II
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Credential |
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Telephone | 815-979-4112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AS4987
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License Number State | FL
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