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General NPI Number Information
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NPI Number | 1609095322
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Entity Type | Organization
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Legal Business Name | WOODLAND HEARING AID SERVICES INC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 1837 E GIBSON RD SUITE K
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City | WOODLAND
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State | CA
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Zip | 95776
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Country | US
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Telephone | 530-661-3080
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Fax | 530-661-3383
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Provider Business Mailing Address
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Address Line | 1837 E GIBSON RD SUITE K
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City | WOODLAND
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State | CA
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Zip | 95776
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Country | US
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Telephone | 530-661-3080
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Fax | 530-661-3383
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. TERESA KASIARZ
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Credential | HEARING INSTRUMENTS
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Telephone | 530-661-3080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | HA4118
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License Number State | CA
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