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General NPI Number Information
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NPI Number | 1891847927
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Entity Type | Organization
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Legal Business Name | BRIAN J EISERMANN
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 6032 CLARK RD SUITE C
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City | PARADISE
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State | CA
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Zip | 95969
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Country | US
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Telephone | 530-877-3808
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Fax | 530-877-5764
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Provider Business Mailing Address
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Address Line | 6032 CLARK RD. SUITE C
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City | PARADISE
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State | CA
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Zip | 95969
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Country | US
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Telephone | 530-877-3808
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Fax | 530-877-5764
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Authorized Official
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Title or Position | HEARING AID DISPENSER OWNER
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Name | MR. BRIAN JOHN EISERMANN
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Credential | HA 2971
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Telephone | 530-877-3808
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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 | HA2971
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License Number State | CA
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