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General NPI Number Information
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NPI Number | 1891967071
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Entity Type | Organization
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Legal Business Name | INTEGRITY HEARING SERVICES, PS
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 07/13/2018
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Provider Practice Location Address
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Address Line | 7525 CUSTER RD W
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City | LAKEWOOD
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State | WA
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Zip | 98499
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Country | US
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Telephone | 253-476-4327
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Fax | 253-476-0585
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Provider Business Mailing Address
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Address Line | 7515 CUSTER RD W
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City | LAKEWOOD
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State | WA
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Zip | 98499-8138
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Country | US
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Telephone | 253-476-4327
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Fax | 253-476-0585
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DANETTE P JACKSON
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Credential | MA, CCC-A
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Telephone | 253-476-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | LD00001210
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License Number State | WA
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