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General NPI Number Information
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NPI Number | 1609293265
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Entity Type | Organization
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Legal Business Name | MOORE FAMILY HEARING COMPANY INC.
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Dates
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Enumeration Date | 03/20/2014
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 1601 DOUGLAS BLVD STE. A
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City | ROSEVILLE
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State | CA
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Zip | 95661-2957
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Country | US
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Telephone | 916-786-8040
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Fax |
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Provider Business Mailing Address
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Address Line | 2281 LAVA RIDGE CT STE. 130
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City | ROSEVILLE
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State | CA
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Zip | 95661-2801
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Country | US
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Telephone | 916-218-4100
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Fax | 916-218-4101
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Authorized Official
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Title or Position | CMO
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Name | MATTHEW MOORE
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Credential |
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Telephone | 916-218-4100
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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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