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General NPI Number Information
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NPI Number | 1659569804
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Entity Type | Organization
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Legal Business Name | BBK, INC.
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Dates
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Enumeration Date | 10/11/2007
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 625 E 500 S SUITE 104
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City | BOUNTIFUL
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State | UT
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Zip | 84010-3882
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Country | US
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Telephone | 801-294-6300
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Fax | 801-294-6302
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Provider Business Mailing Address
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Address Line | 625 E 500 S SUITE 104
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City | BOUNTIFUL
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State | UT
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Zip | 84010-3882
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Country | US
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Telephone | 801-294-6300
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Fax | 801-294-6302
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KURT M AUERNIG
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Credential | BC-HIS
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Telephone | 801-294-6300
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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 | 146
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License Number State | WY
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