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General NPI Number Information
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NPI Number | 1831562792
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Entity Type | Organization
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Legal Business Name | HOME HEARING AID SERVICES,INC
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Dates
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Enumeration Date | 11/01/2015
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Last Update Date | 11/01/2015
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Provider Practice Location Address
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Address Line | 1546 GOLDEN DR
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City | HUBERTUS
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State | WI
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Zip | 53033-9790
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Country | US
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Telephone | 262-253-2151
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Fax | 262-628-4673
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Provider Business Mailing Address
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Address Line | 1546 GOLDEN DR
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City | HUBERTUS
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State | WI
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Zip | 53033-9790
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Country | US
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Telephone | 262-253-2151
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Fax | 262-628-4673
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANDREW CMEYLA
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Credential |
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Telephone | 262-253-2151
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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 | 42838400
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License Number State | WI
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