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General NPI Number Information
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NPI Number | 1619634664
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Entity Type | Organization
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Legal Business Name | CA HEARING LLC
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Dates
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Enumeration Date | 11/24/2021
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Last Update Date | 11/24/2021
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Provider Practice Location Address
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Address Line | 333 H ST STE 5000
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City | CHULA VISTA
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State | CA
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Zip | 91910-5561
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Country | US
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Telephone | 619-349-5410
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Fax | 855-460-3577
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Provider Business Mailing Address
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Address Line | 333 H ST STE 5000
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City | CHULA VISTA
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State | CA
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Zip | 91910-5561
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Country | US
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Telephone | 760-492-0740
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WALTER KELLY JR.
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Credential | CAHAD
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Telephone | 760-492-0774
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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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