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General NPI Number Information
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NPI Number | 1629903166
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Entity Type | Organization
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Legal Business Name | MIRACLE EAR
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Dates
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Enumeration Date | 06/16/2026
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Last Update Date | 06/16/2026
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Provider Practice Location Address
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Address Line | 1835 S CENTRE CITY PKWY STE F
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City | ESCONDIDO
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State | CA
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Zip | 92025-6544
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Country | US
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Telephone | 760-480-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 S CENTRE CITY PKWY STE F
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City | ESCONDIDO
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State | CA
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Zip | 92025-6544
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Country | US
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Telephone | 760-480-2266
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Fax |
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Authorized Official
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Title or Position | HEARING AID SPECIALIST
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Name | AIDAN MARIE KERR
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Credential | HIS
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Telephone | 949-558-7059
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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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