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General NPI Number Information
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NPI Number | 1821172685
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Entity Type | Organization
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Legal Business Name | HAC HEARING AID CENTERS OF AMERICA INC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/10/2013
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Provider Practice Location Address
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Address Line | 1350 W CENTRE AVE SUITE 105
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City | PORTAGE
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State | MI
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Zip | 49024-5361
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Country | US
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Telephone | 269-324-0301
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Fax | 269-324-2733
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Provider Business Mailing Address
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Address Line | 1350 W CENTRE AVE SUITE 105
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City | PORTAGE
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State | MI
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Zip | 49024-5361
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Country | US
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Telephone | 269-324-0301
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Fax | 269-324-2733
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MR. TIMOTHY D LAWRENCE
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Credential |
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Telephone | 317-243-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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