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General NPI Number Information
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NPI Number | 1770110918
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Entity Type | Organization
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Legal Business Name | RENEW HEARING, INC
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 6116 CHADWORTH WAY
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City | INDPLS
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State | IN
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Zip | 46236
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Country | US
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Telephone | 317-517-5783
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Fax |
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Provider Business Mailing Address
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Address Line | 6116 CHADWORTH WAY
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City | INDPLS
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State | IN
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Zip | 46236
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Country | US
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Telephone | 317-517-5783
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROBYNE VERABLE
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Credential | HIS
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Telephone | 317-517-5783
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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 |
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License Number State |
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