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General NPI Number Information
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NPI Number | 1730251091
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Entity Type | Organization
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Legal Business Name | MIRACLE EAR HEARING
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 432 GRASS VALLEY HWY
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City | AUBURN
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State | CA
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Zip | 95603-3714
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Country | US
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Telephone | 530-889-8660
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Fax | 530-889-1634
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Provider Business Mailing Address
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Address Line | 432 GRASS VALLEY HWY
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City | AUBURN
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State | CA
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Zip | 95603-3714
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Country | US
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Telephone | 530-889-8660
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Fax | 530-889-1634
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Authorized Official
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Title or Position | OWNER
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Name | VINCENT ROY CHIQUET
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Credential | HEARING AID DISPENSE
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Telephone | 530-889-8660
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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 | HA2358
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License Number State | CA
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