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General NPI Number Information
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NPI Number | 1578972063
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Entity Type | Organization
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Legal Business Name | LIFETIME HEARING SERVICES LLC
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Dates
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Enumeration Date | 08/08/2014
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 1273 GRATIOT BLVD
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City | MARYSVILLE
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State | MI
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Zip | 48040-2303
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Country | US
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Telephone | 810-364-1170
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Fax | 810-364-2946
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Provider Business Mailing Address
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Address Line | 1273 GRATIOT BLVD
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City | MARYSVILLE
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State | MI
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Zip | 48040-2303
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Country | US
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Telephone | 810-364-1170
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Fax | 810-364-2946
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Authorized Official
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Title or Position | SOLE MBR
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Name | PAMELA BEIER
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Credential | MA-CCC-A
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Telephone | 810-364-1170
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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 | MI
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