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General NPI Number Information
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NPI Number | 1659466761
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Entity Type | Organization
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Legal Business Name | PREMIER HEARING SOLUTIONS
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1706 HWY 51 AND 138
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City | STOUGHTON
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State | WI
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Zip | 53589
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Country | US
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Telephone | 608-873-5071
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Fax | 608-873-5072
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Provider Business Mailing Address
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Address Line | 1706 HWY 51 AND 138
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City | STOUGHTON
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State | WI
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Zip | 53589
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Country | US
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Telephone | 608-873-5071
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Fax | 608-873-5072
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. LAURA JEAN FELDHAKE
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Credential | AU.D.
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Telephone | 608-873-5071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 210
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License Number State | WI
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