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General NPI Number Information
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NPI Number | 1790368454
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Entity Type | Organization
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Legal Business Name | HEARING EXPERIENCE, LLC
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Dates
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Enumeration Date | 04/30/2021
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Last Update Date | 04/30/2021
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Provider Practice Location Address
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Address Line | 701 PALOMAR AIRPORT RD STE 300
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City | CARLSBAD
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State | CA
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Zip | 92011-1028
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Country | US
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Telephone | 760-434-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 701 PALOMAR AIRPORT RD STE 300
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City | CARLSBAD
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State | CA
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Zip | 92011-1028
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Country | US
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Telephone | 760-434-4327
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | WALTER KELLY
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Credential | HAD
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Telephone | 760-492-0740
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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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