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General NPI Number Information
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NPI Number | 1871043208
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Entity Type | Organization
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Legal Business Name | A NEW LIFE HEARING AID LLC
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 909 MAIN AVE SUITE B
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City | LA GRANDE
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State | OR
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Zip | 97850-2255
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Country | US
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Telephone | 541-805-9057
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Fax |
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Provider Business Mailing Address
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Address Line | 909 MAIN AVE SUITE B
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City | LA GRANDE
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State | OR
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Zip | 97850-2255
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Country | US
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Telephone | 541-805-9057
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. THOMAS A MEIER
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Credential | HEARING AID SPC
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Telephone | 541-805-9057
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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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