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General NPI Number Information
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NPI Number | 1811103211
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Entity Type | Organization
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Legal Business Name | INDIANA HEARING LLC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 524 S GREEN RIVER RD
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City | EVANSVILLE
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State | IN
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Zip | 47715-7308
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Country | US
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Telephone | 812-402-6630
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Fax | 812-402-6734
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Provider Business Mailing Address
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Address Line | 131 ENTERPRISE RD
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3326
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Country | US
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Telephone | 401-353-4174
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Fax | 401-488-5774
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Authorized Official
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Title or Position | SENIOR CONTRACT NEGOTIATOR
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Name | KAYLA R STEELE
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Credential |
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Telephone | 518-620-4238
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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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