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General NPI Number Information
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NPI Number | 1649661067
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Entity Type | Organization
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Legal Business Name | LANCASTER HEARING AID CENTER
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 2205 CENTRAL AVE
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City | COLUMBUS
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State | IN
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Zip | 47201-4450
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Country | US
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Telephone | 812-375-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 CENTRAL AVE
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City | COLUMBUS
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State | IN
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Zip | 47201-4450
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Country | US
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Telephone | 812-375-1806
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JERRY LANCASTER
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Credential |
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Telephone | 812-375-1806
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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 | 17001056A
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License Number State | IN
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