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General NPI Number Information
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NPI Number | 1881894947
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Entity Type | Organization
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Legal Business Name | ALL ABOUT HEARING SERVICE LLC
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 2733 MANITOWOC RD STE 8B
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City | GREEN BAY
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State | WI
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Zip | 54311-4901
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Country | US
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Telephone | 920-468-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 2733 MANITOWOC RD STE 8B
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City | GREEN BAY
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State | WI
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Zip | 54311-4901
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Country | US
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Telephone | 920-468-7474
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DANIEL PANTZLAFF
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Credential | H.I.S.
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Telephone | 920-468-7474
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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 | 004-0001721014-01
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License Number State | WI
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