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General NPI Number Information
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NPI Number | 1851425300
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Entity Type | Organization
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Legal Business Name | JOSIE AND DEB'S AUDIO CENTER
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1301 S FIVE MILE RD
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City | BOISE
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State | ID
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Zip | 83709-1306
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Country | US
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Telephone | 208-672-1156
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Fax | 208-672-8159
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Provider Business Mailing Address
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Address Line | 1301 S FIVE MILE RD
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City | BOISE
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State | ID
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Zip | 83709-1306
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Country | US
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Telephone | 208-672-1156
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Fax | 208-672-8159
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Authorized Official
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Title or Position | OWNER HEARING AID DISPENSER
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Name | DEBORAH K TSCHANNEL
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Credential |
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Telephone | 208-672-1156
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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 | H-488
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | H-150
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License Number State | ID
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