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General NPI Number Information
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NPI Number | 1700940889
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Entity Type | Organization
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Legal Business Name | ECCORA, INC
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1532 ANACAPA ST STE 4
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City | SANTA BARBARA
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State | CA
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Zip | 93101-1949
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Country | US
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Telephone | 805-965-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 1532 ANACAPA ST STE 4
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City | SANTA BARBARA
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State | CA
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Zip | 93101-1949
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Country | US
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Telephone | 805-965-4327
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BYUNG-GAP UM
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Credential | BC-HIS
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Telephone | 805-965-4327
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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 | HA7097
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License Number State | CA
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