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General NPI Number Information
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NPI Number | 1831427756
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Entity Type | Organization
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Legal Business Name | LEBANON COUNTY HEARING AID CENTER
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 1301 QUENTIN ROAD
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City | LEBANON
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State | PA
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Zip | 17042
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Country | US
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Telephone | 717-270-8822
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Fax | 717-270-9445
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Provider Business Mailing Address
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Address Line | 1301 QUENTIN ROAD
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City | LEBANON
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State | PA
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Zip | 17042
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Country | US
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Telephone | 717-270-8822
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Fax | 717-270-9445
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Authorized Official
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Title or Position | OWNER
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Name | DONNA WAY
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Credential | BOARD CERTIFIED/HEAR
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Telephone | 717-270-8822
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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 | F02978
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License Number State | PA
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