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General NPI Number Information
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NPI Number | 1659892396
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Entity Type | Organization
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Legal Business Name | NORTHEAST HEARING SOLUTIONS, INC
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 07/03/2017
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Provider Practice Location Address
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Address Line | 426 AIRPORT RD STE 139
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-3361
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Country | US
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Telephone | 570-459-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 426 AIRPORT RD STE 139
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City | HAZLE TOWNSHIP
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State | PA
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Zip | 18202-3361
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEVIN G BALLIET
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Credential | BC-HIS
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Telephone | 570-459-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | D01228
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License Number State | PA
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