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General NPI Number Information
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NPI Number | 1699920538
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Entity Type | Organization
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Legal Business Name | MID OHIO HEARING CENTER
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 2365 MARION MOUNT GILEAD RD SUITE A
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City | MARION
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State | OH
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Zip | 43302-8912
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Country | US
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Telephone | 740-389-5566
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Fax | 740-389-6699
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Provider Business Mailing Address
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Address Line | 2365 MARION MOUNT GILEAD RD SUITE A
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City | MARION
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State | OH
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Zip | 43302-8912
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Country | US
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Telephone | 740-389-5566
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Fax | 740-389-6699
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Authorized Official
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Title or Position | OWNER
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Name | CLINT M SNEDEGAR
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Credential | NBC/HIS
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Telephone | 740-389-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 2174
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License Number State | OH
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