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General NPI Number Information
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NPI Number | 1578987129
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Entity Type | Organization
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Legal Business Name | MICHELS HEARING AID CENTER
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 459 N CLAUDE A LORD BLVD
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City | POTTSVILLE
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State | PA
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Zip | 17901-2705
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Country | US
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Telephone | 570-622-9151
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Fax | 570-622-3335
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Provider Business Mailing Address
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Address Line | 459 N CLAUDE A LORD BLVD
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City | POTTSVILLE
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State | PA
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Zip | 17901-2705
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Country | US
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Telephone | 570-622-9151
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Fax | 570-622-3335
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICK MICHELS
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Credential |
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Telephone | 570-622-9151
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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 | F02624
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License Number State | PA
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