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General NPI Number Information
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NPI Number | 1780246157
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Entity Type | Organization
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Legal Business Name | FJS HEARING PROFESSIONALS
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Dates
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Enumeration Date | 07/05/2019
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Last Update Date | 07/05/2019
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Provider Practice Location Address
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Address Line | 3559 W RAMSEY AVE SUIT C-2
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City | BANNING
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State | CA
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Zip | 92220
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Country | US
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Telephone | 951-922-3233
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Fax | 951-922-3233
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Provider Business Mailing Address
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Address Line | PO BOX 369
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City | MIRA LOMA
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State | CA
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Zip | 91752
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Country | US
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Telephone | 951-922-3233
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Fax | 951-922-3233
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Authorized Official
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Title or Position | PAITENT CARE COORDINATOR
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Name | JESSICA ROY
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Credential |
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Telephone | 951-922-3233
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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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