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General NPI Number Information
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NPI Number | 1710182258
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Entity Type | Organization
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Legal Business Name | WILLMAR HEARING AID CENTER INC
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 01/19/2012
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Provider Practice Location Address
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Address Line | 1604 1ST ST S
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City | WILLMAR
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State | MN
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Zip | 56201-4243
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Country | US
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Telephone | 320-235-7244
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Fax | 320-235-3153
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Provider Business Mailing Address
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Address Line | 1604 1ST ST S
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City | WILLMAR
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State | MN
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Zip | 56201-4243
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Country | US
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Telephone | 320-235-7244
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Fax | 320-235-3153
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JERRY LEE MEINDERS
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Credential |
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Telephone | 507-276-0277
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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