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General NPI Number Information
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NPI Number | 1881099331
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Entity Type | Organization
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Legal Business Name | BELTONE HEARING CENTERS OF MARYLAND LLC
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Dates
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Enumeration Date | 10/27/2014
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Last Update Date | 10/27/2014
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Provider Practice Location Address
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Address Line | 611 FREDERICK RD STE 103
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City | CATONSVILLE
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State | MD
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Zip | 21228-4781
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Country | US
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Telephone | 410-744-2580
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Fax | 410-744-2582
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Provider Business Mailing Address
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Address Line | 611 FREDERICK RD STE 103
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City | CATONSVILLE
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State | MD
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Zip | 21228-4781
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Country | US
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Telephone | 410-744-2580
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Fax | 410-744-2582
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Authorized Official
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Title or Position | OWNER
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Name | PATRICK CHIP
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Credential |
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Telephone | 716-568-8061
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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 | 03837592
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License Number State | MD
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