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General NPI Number Information
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NPI Number | 1629217518
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Entity Type | Organization
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Legal Business Name | NORTHLAND HEARING ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/17/2009
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 888 HAINES SUITE 224
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City | LIBERTY
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State | MO
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Zip | 64068-1006
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Country | US
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Telephone | 816-781-2333
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Fax |
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Provider Business Mailing Address
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Address Line | 7212 HARVARD DR
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City | RAYTOWN
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State | MO
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Zip | 64133-6864
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Country | US
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Telephone | 816-781-2333
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF AUDIOLOGY
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Name | DR. KRISTY MARIE KURTZ
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Credential | AU.D.
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Telephone | 816-781-2333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2002025845
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License Number State | MO
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