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General NPI Number Information
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NPI Number | 1831377209
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Entity Type | Organization
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Legal Business Name | MIRACLE EAR
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 08/27/2009
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Provider Practice Location Address
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Address Line | 8015 W ALAMEDA AVE SUITE 110
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City | LAKEWOOD
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State | CO
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Zip | 80226-3041
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Country | US
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Telephone | 303-936-9774
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Fax | 303-237-5792
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Provider Business Mailing Address
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Address Line | 5000 CHESHIRE LN N
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City | PLYMOUTH
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State | MN
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Zip | 55446-3706
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Country | US
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Telephone | 888-333-9152
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Fax | 763-268-4240
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | PAUL M D'AMICO
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Credential |
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Telephone | 888-333-9152
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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 |
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License Number State |
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