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General NPI Number Information
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NPI Number | 1740305903
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Entity Type | Organization
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Legal Business Name | LUEBBE HEARING SERVICES
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 09/05/2008
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Provider Practice Location Address
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Address Line | 210 SHARON RD SUITE 1
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1498
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Country | US
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Telephone | 740-474-8475
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Fax | 740-477-2430
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Provider Business Mailing Address
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Address Line | 210 SHARON RD SUITE 1
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1498
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Country | US
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Telephone | 740-474-8475
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Fax | 740-477-2430
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARY LOU GEARHART
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Credential | AUD
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Telephone | 740-474-8475
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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 | A00304
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License Number State | OH
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