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NPI 1649333584

NPI 1649333584 : AA HEARING AID CENTER,INC. : BRIDGEPORT, CT

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General NPI Number Information
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    NPI Number           |    1649333584
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    Entity Type          |    Organization 
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    Legal Business Name  |    AA HEARING AID CENTER,INC. 
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Dates
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    Enumeration Date     |    12/19/2006
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    Last Update Date     |    03/25/2009
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Provider Practice Location Address
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    Address Line         |    4270 MAIN STREET AA HEARING AID CENTER
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    City                 |    BRIDGEPORT
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    State                |    CT
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    Zip                  |    06606-2306
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    Country              |    US
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    Telephone            |    203-374-8900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4270 MAIN STREET AA HEARING AID CENTER
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    City                 |    BRIDGEPORT
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    State                |    CT
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    Zip                  |    06606-2306
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    Country              |    US
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    Telephone            |    203-374-8900
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER AUDIOLOGIST
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    Name                 |    MR. PETER G OGILVY 
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    Credential           |    MS
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    Telephone            |    203-374-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    000236
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    000211AUDIOLOGY
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    License Number State |    CT
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