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General NPI Number Information
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NPI Number | 1619909165
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Entity Type | Organization
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Legal Business Name | RANCHO BERNARDO HEARING SERVICES, INC.
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16766 BERNARDO CENTER DR SUITE 206
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City | SAN DIEGO
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State | CA
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Zip | 92128-2545
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Country | US
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Telephone | 858-485-0909
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Fax | 858-485-0930
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Provider Business Mailing Address
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Address Line | 16766 BERNARDO CENTER DR SUITE 206
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City | SAN DIEGO
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State | CA
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Zip | 92128-2545
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Country | US
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Telephone | 858-485-0909
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Fax | 858-485-0930
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. JUDITH K. HORNING
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Credential | AU.D.
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Telephone | 858-485-0909
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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 | AU78
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License Number State | CA
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