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General NPI Number Information
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NPI Number | 1730689613
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Entity Type | Organization
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Legal Business Name | LONGS HEARING HEALTH CARE
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Dates
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Enumeration Date | 02/16/2018
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Last Update Date | 02/16/2018
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Provider Practice Location Address
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Address Line | 1027 N MITCHELL ST
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City | CADILLAC
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State | MI
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Zip | 49601-1284
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Country | US
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Telephone | 231-884-5066
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Fax | 231-884-5066
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Provider Business Mailing Address
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Address Line | 1027 N MITCHELL ST
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City | CADILLAC
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State | MI
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Zip | 49601-1284
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Country | US
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Telephone | 231-779-0400
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Fax | 231-779-5484
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Authorized Official
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Title or Position | DEALER
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Name | MS. MELISSA KAY DELEON
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Credential | DEALER
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Telephone | 231-779-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3501006967
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License Number State | MI
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