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General NPI Number Information
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NPI Number | 1649653643
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Entity Type | Organization
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Legal Business Name | HERITAGE HEARING CARE OF NEW ENGLAND LLC
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Dates
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Enumeration Date | 07/08/2015
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Last Update Date | 07/08/2015
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Provider Practice Location Address
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Address Line | 129 PALMER RD STE 3
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City | MONSON
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State | MA
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Zip | 01057-9576
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Country | US
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Telephone | 413-893-9423
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Fax | 413-893-9463
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Provider Business Mailing Address
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Address Line | 8 HERITAGE LN
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City | MONSON
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State | MA
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Zip | 01057-1157
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Country | US
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Telephone | 413-893-9423
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Fax | 413-893-9463
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Authorized Official
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Title or Position | OWNER
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Name | DEBORAH AVERY
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Credential |
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Telephone | 860-490-8692
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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 |
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License Number State |
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