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General NPI Number Information
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NPI Number | 1700282696
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Entity Type | Organization
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Legal Business Name | THE HEARING EXPERIENCE
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 01/20/2017
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Provider Practice Location Address
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Address Line | 300 CARLSBAD VILLAGE DR 206
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City | CARLSBAD
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State | CA
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Zip | 92008-2900
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Country | US
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Telephone | 858-866-6516
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Fax |
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Provider Business Mailing Address
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Address Line | 300 CARLSBAD VILLAGE DR #206
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City | CARLSBAD
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State | CA
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Zip | 92008-2900
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SUZANNE KELLY
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Credential |
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Telephone | 858-866-6516
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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 | CAHA2450
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License Number State | CA
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