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General NPI Number Information
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NPI Number | 1639544760
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Entity Type | Organization
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Legal Business Name | ALABAMA HEARING AID CENTER OF TUSCALOOSA, INC
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Dates
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Enumeration Date | 12/01/2015
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 2403 5TH ST N
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City | COLUMBUS
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State | MS
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Zip | 39705-2005
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Country | US
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Telephone | 205-242-5635
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Fax | 205-330-0909
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Provider Business Mailing Address
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Address Line | PO BOX 1519
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City | TUSCALOOSA
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State | AL
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Zip | 35403-1519
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Country | US
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Telephone | 205-242-5635
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Fax | 205-330-0909
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOEL MARTIN BANK
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Credential | NBC-HIS
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Telephone | 205-242-5635
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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 | HA0582
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License Number State | MS
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