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NPI 1891771655

NPI 1891771655 : HEARING CENTER LLC : FORT WAYNE, IN

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General NPI Number Information
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    NPI Number           |    1891771655
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEARING CENTER LLC 
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Dates
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    Enumeration Date     |    12/22/2005
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    10021 DUPONT CIRCLE CT 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46825-1604
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    Country              |    US
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    Telephone            |    260-426-8117
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    Fax                  |    260-420-0817
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Provider Business Mailing Address
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    Address Line         |    10021 DUPONT CIRCLE CT 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46825-1604
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    Country              |    US
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    Telephone            |    260-426-8117
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    Fax                  |    260-420-0817
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BRIAN D HERR 
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    Credential           |    MD
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    Telephone            |    260-207-1675
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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       |    
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    License Number State |    
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