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General NPI Number Information
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NPI Number | 1851364715
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Entity Type | Organization
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Legal Business Name | MICKEN HEARING SERVICES
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Dates
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Enumeration Date | 02/10/2006
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Last Update Date | 11/02/2009
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Provider Practice Location Address
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Address Line | 1008 N 7TH AVE
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City | BOZEMAN
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State | MT
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Zip | 59715-2567
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Country | US
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Telephone | 406-586-0914
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Fax |
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Provider Business Mailing Address
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Address Line | 1008 N 7TH AVE
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City | BOZEMAN
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State | MT
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Zip | 59715-2567
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Country | US
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Telephone | 406-586-0914
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEE MICKEN
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Credential | AU.D.
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Telephone | 406-586-0914
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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 | 734
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 5
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License Number State | MT
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