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General NPI Number Information
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NPI Number | 1649463910
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Entity Type | Organization
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Legal Business Name | EAR KITT HEARING AIDS SERVICES INC
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 4020 W FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92545-5279
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Country | US
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Telephone | 951-658-3300
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Fax | 951-766-0143
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Provider Business Mailing Address
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Address Line | 1216 MULBERRY LN
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City | CALIMESA
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State | CA
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Zip | 92320-1526
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Country | US
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Telephone | 951-658-3300
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Fax | 951-766-0143
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID SHIELDS ROBERTSON
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Credential | HEARING AID SPECIAL
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Telephone | 951-658-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA5067
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License Number State | CA
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