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NPI 1871837765

NPI 1871837765 : HEARING CARE CENTERS OF NEBRASKA, INC. : BEATRICE, NE

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General NPI Number Information
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    NPI Number           |    1871837765
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEARING CARE CENTERS OF NEBRASKA, INC. 
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Dates
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    Enumeration Date     |    11/16/2012
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    Last Update Date     |    11/16/2012
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Provider Practice Location Address
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    Address Line         |    112 S 19TH ST 
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    City                 |    BEATRICE
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    State                |    NE
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    Zip                  |    68310-4259
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    Country              |    US
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    Telephone            |    402-228-3701
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14003 WILLIAMSBURG CT APT 31 
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    City                 |    BELLEVUE
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    State                |    NE
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    Zip                  |    68123-4807
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    Country              |    US
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    Telephone            |    402-440-0976
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, PRESIDENT
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    Name                 |    MR. JOSHUA AARON BEACH 
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    Credential           |    HIS
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    Telephone            |    402-440-0976
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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       |    770
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    License Number State |    NE
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