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General NPI Number Information
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NPI Number | 1598477135
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Entity Type | Organization
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Legal Business Name | HAWKEYE HEARING
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Dates
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Enumeration Date | 12/14/2022
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 1517 FARMERS LN
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City | SANTA ROSA
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State | CA
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Zip | 95405-7525
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Country | US
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Telephone | 707-595-4333
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Fax | 707-708-8575
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Provider Business Mailing Address
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Address Line | 1517 FARMERS LN
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City | SANTA ROSA
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State | CA
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Zip | 95405-7525
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Country | US
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Telephone | 707-595-4333
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Fax | 707-708-8575
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Authorized Official
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Title or Position | OWNER
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Name | MONTE MISHLER
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Credential | HAD
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Telephone | 707-595-4333
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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 |
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License Number State |
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