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General NPI Number Information
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NPI Number | 1639721681
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Entity Type | Organization
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Legal Business Name | PRECISION HEARING CLINIC, INC
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 1860 EL CAMINO REAL STE 304
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City | BURLINGAME
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State | CA
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Zip | 94010-3114
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Country | US
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Telephone | 650-278-7287
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Fax | 650-453-2434
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Provider Business Mailing Address
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Address Line | 1860 EL CAMINO REAL STE 304
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City | BURLINGAME
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State | CA
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Zip | 94010-3114
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Country | US
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Telephone | 650-278-7287
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST / OWNER
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Name | ANGA LAO
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Credential | AUD
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Telephone | 650-278-7287
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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 |
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License Number State |
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