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General NPI Number Information
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NPI Number | 1871936443
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Entity Type | Organization
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Legal Business Name | BUDGET HEARING AID CENTERS, LTD
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Dates
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Enumeration Date | 04/12/2013
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 1057 PROVENCE LN
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City | WACONIA
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State | MN
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Zip | 55387-4553
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Country | US
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Telephone | 612-867-5214
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Fax | 952-241-9202
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Provider Business Mailing Address
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Address Line | 1057 PROVENCE LN
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City | WACONIA
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State | MN
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Zip | 55387-4553
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Country | US
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Telephone | 612-867-5214
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Fax | 952-241-9202
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL ALLEN THULIN
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Credential | H.I.S.
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Telephone | 612-867-5214
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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 | 2665
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License Number State | MN
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