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General NPI Number Information
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NPI Number | 1639615842
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Entity Type | Organization
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Legal Business Name | HEARING CARE CENTER INC
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 48465 VAN DYKE AVE SUITE A
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317-3272
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Country | US
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Telephone | 586-801-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 48465 VAN DYKE AVE SUITE A
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317-3272
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Country | US
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Telephone | 586-801-7738
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. CHRISTIN ANGELA PEYERK
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Credential | AU.D.
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Telephone | 586-801-7738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 1601000428
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License Number State | MI
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