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General NPI Number Information
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NPI Number | 1649551367
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Entity Type | Organization
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Legal Business Name | PA CENTER FOR HEARING AND BALANCE, LLC
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 07/19/2022
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Provider Practice Location Address
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Address Line | 130 S STATE RD STE 201
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City | SPRINGFIELD
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State | PA
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Zip | 19064-1232
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Country | US
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Telephone | 610-438-5203
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Fax | 484-470-6001
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Provider Business Mailing Address
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Address Line | 130 S STATE RD STE 201
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City | SPRINGFIELD
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State | PA
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Zip | 19064-1232
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Country | US
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Telephone | 610-438-5203
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Fax | 484-470-6001
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. LILIANA C PICCININI
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Credential | AUD
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Telephone | 610-438-5203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | D00973
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | D00973
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License Number State | PA
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