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General NPI Number Information
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NPI Number | 1811103302
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Entity Type | Organization
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Legal Business Name | L AND L HAWAIIAN HEARING LLC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1450 ALA MOANA BLVD STE 1000
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City | HONOLULU
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State | HI
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Zip | 96814-4696
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Country | US
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Telephone | 808-947-0205
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Fax |
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Provider Business Mailing Address
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Address Line | 7400 W 109TH ST
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City | BLOOMINGTON
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State | MN
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Zip | 55438-2374
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Country | US
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Telephone | 952-888-7509
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Fax | 952-888-2952
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Authorized Official
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Title or Position | TREASURER
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Name | LARRY CLIFFORD GREELY
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Credential |
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Telephone | 952-888-7509
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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 | L6
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License Number State | HI
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