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General NPI Number Information
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NPI Number | 1831633726
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Entity Type | Organization
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Legal Business Name | INDIANA HEARING LLC
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 1446 PILGRIM LN # A-8
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City | PLYMOUTH
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State | IN
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Zip | 46563-3440
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Country | US
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Telephone | 219-206-2630
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Fax | 219-866-2333
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Provider Business Mailing Address
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Address Line | 131 ENTERPRISE RD
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3326
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Country | US
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Telephone | 401-353-4174
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Fax | 401-488-5774
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | CURT BACHELOR
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Credential |
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Telephone | 219-206-2630
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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 |
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License Number State |
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