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General NPI Number Information
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NPI Number | 1740421387
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Entity Type | Organization
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Legal Business Name | AFFORDABLE HEARING CARE
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 1847 PACIFIC AVE
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City | KINGMAN
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State | AZ
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Zip | 86401-4026
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Country | US
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Telephone | 928-753-7060
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Fax | 928-753-7078
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Provider Business Mailing Address
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Address Line | 1847 PACIFIC AVE
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City | KINGMAN
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State | AZ
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Zip | 86401-4026
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Country | US
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Telephone | 928-753-7060
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Fax | 928-753-7078
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Authorized Official
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Title or Position | AUDIOPROSTHOLOGIST/INSTRUMENT SPEC.
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Name | MR. LUND LEO STUCKI
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Credential |
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Telephone | 928-753-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number | BHAD4989
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | BHAD4989
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License Number State | AZ
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