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NPI 1639372428

NPI 1639372428 : ECONOMY HEARING AID CENTER : MIDWEST CITY, OK

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General NPI Number Information
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    NPI Number           |    1639372428
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    Entity Type          |    Organization 
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    Legal Business Name  |    ECONOMY HEARING AID CENTER 
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Dates
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    Enumeration Date     |    06/08/2007
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    Last Update Date     |    12/04/2009
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Provider Practice Location Address
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    Address Line         |    6803 E RENO AVE 
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    City                 |    MIDWEST CITY
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    State                |    OK
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    Zip                  |    73110-2167
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    Country              |    US
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    Telephone            |    405-733-8286
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    Fax                  |    405-732-9765
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Provider Business Mailing Address
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    Address Line         |    351 N AIR DEPOT BLVD STE AA 
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    City                 |    MIDWEST CITY
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    State                |    OK
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    Zip                  |    73110-1794
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    Country              |    US
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    Telephone            |    405-733-8286
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    Fax                  |    405-732-9765
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     TODD  BRANNON 
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    Credential           |    HIS
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    Telephone            |    405-733-8286
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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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