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General NPI Number Information
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NPI Number | 1811917388
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Entity Type | Organization
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Legal Business Name | SOUTH BAY HEARING AID & AUDIOLOGY CENTER INC
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2814 SEPULVEDA BLVD SUITE J
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City | TORRANCE
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State | CA
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Zip | 90505-2863
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Country | US
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Telephone | 818-681-7973
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Fax | 310-325-1915
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Provider Business Mailing Address
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Address Line | 2814 SEPULVEDA BLVD SUITE J
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City | TORRANCE
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State | CA
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Zip | 90505-2863
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Country | US
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Telephone | 818-681-7973
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Fax | 310-325-1915
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Authorized Official
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Title or Position | OWNER AUDIOLOGIST
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Name | THOMAS J METZ
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Credential | MS
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Telephone | 818-681-7973
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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 | AU1278
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License Number State | CA
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