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General NPI Number Information
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NPI Number | 1700306131
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Entity Type | Organization
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Legal Business Name | CRESCENT CITY HEARING CENTER, LLC
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 801 VETERANS MEMORIAL BLVD. SUITE D
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City | METAIRIE
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State | LA
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Zip | 70005-2854
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Country | US
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Telephone | 504-252-4880
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Fax | 504-272-0351
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Provider Business Mailing Address
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Address Line | 801 VETERANS MEMORIAL BLVD STE D
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City | METAIRIE
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State | LA
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Zip | 70005-2855
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Country | US
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Telephone | 504-252-4880
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Fax | 504-272-0351
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Authorized Official
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Title or Position | MEMBER/OWNER
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Name | MRS. DOROTHY LYMAN REDFEARN
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Credential | LCSW
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Telephone | 504-252-4880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 1195
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License Number State | LA
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