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General NPI Number Information
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NPI Number | 1750894754
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Entity Type | Organization
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Legal Business Name | MY HEARING CENTERS
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 302 E 4TH ST
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City | THE DALLES
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State | OR
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Zip | 97058-2208
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Country | US
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Telephone | 541-397-0188
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Fax | 541-296-3300
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Provider Business Mailing Address
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Address Line | 302 E 4TH ST
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City | THE DALLES
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State | OR
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Zip | 97058-2208
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Country | US
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Telephone | 541-397-0188
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Fax | 541-296-3300
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Authorized Official
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Title or Position | DIRECTOR OF HEARING SERVICES
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Name | DUSTIN JACOB MCMINN
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Credential | HAS
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Telephone | 909-262-7027
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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 | 10181198
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License Number State | OR
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