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General NPI Number Information
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NPI Number | 1699150912
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Entity Type | Organization
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Legal Business Name | ASSOCIATE HEARING AID CORP
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Dates
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Enumeration Date | 07/28/2015
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 7700 FRONTAGE RD
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City | CICERO
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State | NY
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Zip | 13039-8600
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Country | US
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Telephone | 315-452-1662
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Fax |
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Provider Business Mailing Address
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Address Line | 7700 FRONTAGE ROAD
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City | CICERO
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State | NY
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Zip | 13039
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Country | US
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Telephone | 315-452-1662
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID E BUGIN
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Credential | BC-HIS
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Telephone | 315-452-1662
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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 | 14000044725
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License Number State | NY
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