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General NPI Number Information
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NPI Number | 1710993993
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Entity Type | Individual
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Provider Name | MATTHEW D MICHAELS M.S., CCC-A
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 1318 2ND ST STE 1
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City | SANTA MONICA
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State | CA
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Zip | 90401-1118
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Country | US
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Telephone | 310-393-4232
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 WILSHIRE BLVD
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City | SANTA MONICA
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State | CA
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Zip | 90403-5605
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Country | US
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Telephone | 310-829-6444
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Fax | 818-368-6061
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | AU1730
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License Number State | CA
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