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General NPI Number Information
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NPI Number | 1689493074
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Entity Type | Organization
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Legal Business Name | PIONEER HEARING AND TINNITUS LLC
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 215 E CEDAR ST STE D
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City | POCATELLO
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State | ID
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Zip | 83201-3700
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Country | US
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Telephone | 208-589-1548
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Fax |
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Provider Business Mailing Address
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Address Line | 215 E CEDAR ST STE D
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City | POCATELLO
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State | ID
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Zip | 83201-3700
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Country | US
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Telephone | 208-775-2255
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | DR. ELIZABETH O'NEIL
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Credential | AU.D.
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Telephone | 208-589-1548
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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 |
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License Number State |
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