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General NPI Number Information
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NPI Number | 1639881055
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Entity Type | Organization
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Legal Business Name | HEARING CARE AT HOME LLC
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Dates
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Enumeration Date | 12/16/2022
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Last Update Date | 12/16/2022
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Provider Practice Location Address
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Address Line | 2300 W GOOD HOPE RD UNIT 144
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City | GLENDALE
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State | WI
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Zip | 53209-2749
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Country | US
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Telephone | 414-731-9341
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 W GOOD HOPE RD UNIT 144
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City | GLENDALE
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State | WI
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Zip | 53209-2749
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Country | US
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Telephone | 414-731-9341
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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. JOSEPH D AUSSEM
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Credential | AU.D
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Telephone | 414-731-9341
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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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