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General NPI Number Information
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NPI Number | 1720333552
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Entity Type | Organization
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Legal Business Name | AFFORDABLE HEARING AIDS, LLC
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Dates
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Enumeration Date | 07/18/2012
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Last Update Date | 07/18/2012
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Provider Practice Location Address
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Address Line | 64 POMEROY ST SUITE A
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City | CORTLAND
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State | NY
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Zip | 13045-2708
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Country | US
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Telephone | 607-662-4185
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Fax |
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Provider Business Mailing Address
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Address Line | 64 POMEROY ST SUITE A
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City | CORTLAND
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State | NY
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Zip | 13045-2708
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Country | US
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Telephone | 607-662-4185
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACIE R MCMULLIN
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Credential |
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Telephone | 607-662-4185
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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 | 4235196
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License Number State | NY
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