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General NPI Number Information
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NPI Number | 1649822677
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Entity Type | Organization
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Legal Business Name | SENSIBLE HEARING
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 235 S MAIN ST
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City | DECATUR
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State | IL
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Zip | 62523-1401
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Country | US
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Telephone | 217-330-9794
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Fax |
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Provider Business Mailing Address
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Address Line | 235 S MAIN ST
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City | DECATUR
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State | IL
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Zip | 62523-1401
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Country | US
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Telephone | 217-330-9794
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Fax |
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Authorized Official
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Title or Position | HEARING AID DISPENSER
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Name | MRS. STEPHANIE M HOLDER
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Credential | H.I.S
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Telephone | 217-972-0944
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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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