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General NPI Number Information
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NPI Number | 1861716011
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Entity Type | Organization
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Legal Business Name | LAENT HEARING HEALTH, LLC
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Dates
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Enumeration Date | 03/17/2010
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 1245 WILSHIRE BLVD SUITE 603
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City | LOS ANGELES
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State | CA
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Zip | 90017-4810
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Country | US
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Telephone | 213-977-1215
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 WILSHIRE BLVD SUITE 603
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City | LOS ANGELES
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State | CA
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Zip | 90017-4810
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Country | US
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Telephone | 213-977-1215
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | RICHARD W. CLARK
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Credential | M.D.
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Telephone | 213-977-1215
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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 | HA1891
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License Number State | CA
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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 | AU2778
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License Number State | CA
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