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NPI 1790921781

NPI 1790921781 : BLEICH, INC. : NIAGARA FALLS, NY

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General NPI Number Information
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    NPI Number           |    1790921781
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLEICH, INC. 
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Dates
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    Enumeration Date     |    12/23/2008
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    Last Update Date     |    02/19/2013
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Provider Practice Location Address
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    Address Line         |    8404 NIAGARA FALLS BLVD. MIL-PINE PLAZA
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    City                 |    NIAGARA FALLS
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    State                |    NY
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    Zip                  |    14304
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    Country              |    US
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    Telephone            |    716-298-8976
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    Fax                  |    716-298-1597
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Provider Business Mailing Address
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    Address Line         |    8404 NIAGARA FALLS BLVD. MIL-PINE PLAZA
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    City                 |    NIAGARA FALLS
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    State                |    NY
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    Zip                  |    14304
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    Country              |    US
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    Telephone            |    716-298-8976
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    Fax                  |    716-298-1597
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DEBORAH LYNN BLEICH 
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    Credential           |    BC-HIS
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    Telephone            |    716-832-7203
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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       |    15000016424
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    License Number State |    NY
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