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General NPI Number Information
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NPI Number | 1679951982
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Entity Type | Organization
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Legal Business Name | SHASTA HEARING AIDS
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 2070 CHURN CREEK RD STE A
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City | REDDING
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State | CA
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Zip | 96002-0748
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Country | US
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Telephone | 530-768-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 2070 CHURN CREEK RD STE A
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City | REDDING
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State | CA
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Zip | 96002-0748
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Country | US
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Telephone | 307-685-1101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GABRIEL CHARLES KOSSOL
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Credential | HIS
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Telephone | 530-515-5537
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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 |
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License Number State |
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