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General NPI Number Information
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NPI Number | 1578978458
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Entity Type | Organization
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Legal Business Name | VCV HEARING LABS LLC
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 1234 E AIRPORT RD
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City | SAFFORD
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State | AZ
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Zip | 85546-9147
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Country | US
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Telephone | 928-965-4873
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Fax |
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Provider Business Mailing Address
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Address Line | 1234 E AIRPORT ROAD
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City | SAFFORD
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State | AZ
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Zip | 85546
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Country | US
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Telephone | 928-965-4873
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Fax |
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Authorized Official
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Title or Position | ACCOUNTS RECIEVABLE AND PAYABLE
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Name | MRS. DANIELLE VAN SHAAR
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Credential |
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Telephone | 928-965-4873
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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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