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General NPI Number Information
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NPI Number | 1619551884
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HEARING SOLUTIONS, INC
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Dates
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Enumeration Date | 05/12/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | 3000 MCEVER RD
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City | GAINESVILLE
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State | GA
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Zip | 30504-5539
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Country | US
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Telephone | 678-696-5470
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Fax | 678-696-5482
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Provider Business Mailing Address
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Address Line | 3000 MCEVER RD
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City | GAINESVILLE
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State | GA
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Zip | 30504-5539
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Country | US
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Telephone | 678-696-5470
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Fax | 678-696-5482
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Authorized Official
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Title or Position | CEO
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Name | MR. CHRISTOPHER VINCENT CAMPELLONE
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Credential | HIS-PROVIDER
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Telephone | 678-696-5470
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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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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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