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General NPI Number Information
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NPI Number | 1881733012
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Entity Type | Organization
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Legal Business Name | AAA1 HEARING AID SERVICES, INC.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 17300 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-3904
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Country | US
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Telephone | 818-780-1177
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Fax | 818-780-2351
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Provider Business Mailing Address
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Address Line | 17300 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91316-3904
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Country | US
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Telephone | 818-780-1177
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Fax | 818-780-2351
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL J SHANNON
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Credential | BC-HIS
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Telephone | 818-780-1170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD898
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AUD898
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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 | AU2631
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License Number State | CA
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