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General NPI Number Information
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NPI Number | 1588078794
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Entity Type | Organization
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Legal Business Name | EAR TO EAR HEARING SOLUTIONS LLC
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 11/11/2014
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Provider Practice Location Address
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Address Line | 640 S WASHINGTON ST SUITE 130
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City | NAPERVILLE
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State | IL
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Zip | 60540-6603
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Country | US
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Telephone | 630-305-0537
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Fax | 331-229-8693
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Provider Business Mailing Address
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Address Line | 640 S WASHINGTON ST SUITE 130
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City | NAPERVILLE
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State | IL
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Zip | 60540-6603
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Country | US
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Telephone | 630-305-0537
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Fax | 331-229-8693
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY/OWNER
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Name | MS. LISA MARIE PRATHER
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Credential | AU.D.
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Telephone | 630-305-0537
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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 | 147.000612
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License Number State | IL
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