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NPI 1881686905

NPI 1881686905 : SAN DIEGO HEARING CENTER INC : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1881686905
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAN DIEGO HEARING CENTER INC 
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Dates
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    Enumeration Date     |    08/16/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    4282 GENESEE AVE SUITE 301
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92117
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    Country              |    US
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    Telephone            |    858-279-3277
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    Fax                  |    858-279-3281
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Provider Business Mailing Address
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    Address Line         |    4282 GENESEE AVE SUITE 301
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92117-4946
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    Country              |    US
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    Telephone            |    858-279-3277
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    Fax                  |    858-279-3281
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Authorized Official
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    Title or Position    |    PRESIDENT OWNER
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    Name                 |    MS. BLANCHE LYN BLACKINGTON 
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    Credential           |    MA
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    Telephone            |    858-279-3277
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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       |    HA2797
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    License Number State |    CA
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Taxonomy #2
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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 |    CA
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Taxonomy #3
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    AU1291
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    License Number State |    CA
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