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General NPI Number Information
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NPI Number | 1790032688
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Entity Type | Organization
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Legal Business Name | AUDIO HEARING AID SERVICE LLC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/26/2019
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Provider Practice Location Address
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Address Line | 2630 N. WOOSTER AVE.
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City | DOVER
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State | OH
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Zip | 44622
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Country | US
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Telephone | 330-364-6637
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Fax | 330-364-4343
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Provider Business Mailing Address
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Address Line | 2630 N. WOOSTER AVE.
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City | DOVER
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State | OH
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Zip | 44622
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Country | US
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Telephone | 330-364-6637
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Fax | 330-364-4343
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Authorized Official
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Title or Position | OWNER
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Name | MR. CHRISTOPHER C. HERBERGHS
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Credential | OWNER
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Telephone | 330-364-6637
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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 | 2589
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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