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General NPI Number Information
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NPI Number | 1831196211
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Entity Type | Individual
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Provider Name | RICHARD A BIRD M.S.
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Gender | Male
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Dates
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Enumeration Date | 06/30/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7057 W 130TH ST SUITE 303
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City | PARMA HEIGHTS
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State | OH
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Zip | 44130-7841
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Country | US
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Telephone | 440-842-6113
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Fax | 440-842-1961
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Provider Business Mailing Address
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Address Line | 2938 CANTERBURY RD
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City | WESTLAKE
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State | OH
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Zip | 44145-4607
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Country | US
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Telephone | 440-871-6217
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Fax | 440-842-1961
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A00050
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License Number State | OH
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