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General NPI Number Information
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NPI Number | 1750778353
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Entity Type | Organization
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Legal Business Name | AT HOME HEARING HEALTHCARE, LLC
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 72 TAYLOR ST
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City | PEMBROKE
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State | MA
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Zip | 02359-2801
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Country | US
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Telephone | 508-250-9324
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Fax |
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Provider Business Mailing Address
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Address Line | 72 TAYLOR ST
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City | PEMBROKE
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State | MA
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Zip | 02359-2801
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Country | US
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Telephone | 508-250-9324
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MICHAEL GUY SCHMIT
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Credential | LHIS
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Telephone | 508-250-9324
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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 | 224
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License Number State | MA
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