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General NPI Number Information
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NPI Number | 1770753634
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Entity Type | Organization
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Legal Business Name | HEARING SOLUTIONS OF ARIZONA LLC
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 2501 E SOUTHERN AVE STE 21
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City | TEMPE
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State | AZ
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Zip | 85282-7667
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Country | US
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Telephone | 480-833-4330
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Fax | 480-833-1902
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Provider Business Mailing Address
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Address Line | 2501 E SOUTHERN AVE STE 21
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City | TEMPE
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State | AZ
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Zip | 85282-7667
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Country | US
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Telephone | 480-833-4330
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Fax | 480-833-1902
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA K VENKATESH
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Credential | AUD
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Telephone | 480-833-4330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | DA1670
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License Number State | AZ
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