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General NPI Number Information
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NPI Number | 1790115269
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Entity Type | Organization
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Legal Business Name | RESTISENSE CORPORATION
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 1629 COUNTY ROAD C W
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City | ROSEVILLE
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State | MN
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Zip | 55113-1302
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Country | US
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Telephone | 651-330-2748
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Fax |
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Provider Business Mailing Address
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Address Line | 1629 COUNTY ROAD C W
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City | ROSEVILLE
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State | MN
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Zip | 55113-1302
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Country | US
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Telephone | 651-330-2748
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTOPHER J POLETTO
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Credential | PHD
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Telephone | 651-964-9477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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