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General NPI Number Information
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NPI Number | 1720385107
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Entity Type | Organization
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Legal Business Name | INNOVATIVE HEARING SERVICES, LLC
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Dates
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Enumeration Date | 02/19/2011
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 201 E OGDEN AVE SUITE 126
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City | HINSDALE
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State | IL
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Zip | 60521-3633
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Country | US
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Telephone | 630-325-6133
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Fax | 630-325-4751
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Provider Business Mailing Address
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Address Line | 201 E OGDEN AVE STE 126
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City | HINSDALE
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State | IL
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Zip | 60521-3633
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Country | US
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Telephone | 630-325-6133
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Fax | 630-325-4751
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Authorized Official
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Title or Position | MEMBER/AUDIOLOGIST
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Name | MS. KATHLEEN MARIE ULRICH
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Credential | M.A., CCC-A, FAAA
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Telephone | 630-325-6133
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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 | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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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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Taxonomy #4
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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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