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General NPI Number Information
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NPI Number | 1679691216
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Entity Type | Organization
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Legal Business Name | RUSSELL B HEARN & ASSOCIATES
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 1022 N MAIN STREET EXT
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City | BUTLER
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State | PA
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Zip | 16001-1956
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Country | US
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Telephone | 724-282-8491
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Fax | 724-282-8520
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Provider Business Mailing Address
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Address Line | 1022 N MAIN STREET EXT
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City | BUTLER
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State | PA
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Zip | 16001-1956
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Country | US
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Telephone | 724-282-8491
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Fax | 724-282-8520
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RUSSELL B HEARN
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Credential |
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Telephone | 724-282-8491
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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 | D0044600
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License Number State | PA
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