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General NPI Number Information
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NPI Number | 1861769622
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Entity Type | Organization
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Legal Business Name | DR. MULLIN'S HEARING CENTER
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Dates
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Enumeration Date | 11/22/2011
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Last Update Date | 11/22/2011
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Provider Practice Location Address
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Address Line | 3010 CRAIN HWY STE 302
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City | WALDORF
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State | MD
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Zip | 20601-2838
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Country | US
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Telephone | 301-638-3592
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Fax |
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Provider Business Mailing Address
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Address Line | 3010 CRAIN HWY STE 302
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City | WALDORF
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State | MD
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Zip | 20601-2838
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW C DIAS JR.
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Credential | BC-HIS
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Telephone | 301-638-3592
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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 | 2352
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License Number State | MD
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