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General NPI Number Information
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NPI Number | 1699865469
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HEARING CLINIC LLC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 130
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 810-225-2205
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Fax | 810-225-2209
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Provider Business Mailing Address
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Address Line | 2300 GENOA BUSINESS PARK DR SUITE 130
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City | BRIGHTON
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State | MI
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Zip | 48114-7367
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Country | US
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Telephone | 810-225-2205
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Fax | 810-225-2209
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Authorized Official
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Title or Position | OWNER AUDIOLOGIST
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Name | MRS. LORI KAY LINGO
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Credential | M.ED CCC A
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Telephone | 810-225-2205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 1601000209
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License Number State | MI
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