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General NPI Number Information
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NPI Number | 1912500778
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Entity Type | Organization
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Legal Business Name | WHOLISTIC HEARING CARE, LTD
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Dates
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Enumeration Date | 11/16/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 1421 E HARRISON AVE
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City | WHEATON
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State | IL
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Zip | 60187-4423
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Country | US
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Telephone | 630-474-5008
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Fax | 630-474-5800
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Provider Business Mailing Address
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Address Line | 1421 E HARRISON AVE
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City | WHEATON
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State | IL
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Zip | 60187-4423
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Country | US
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Telephone | 630-474-5008
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Fax | 630-474-5800
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Authorized Official
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Title or Position | CEO
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Name | DR. STEPHANIE GUTZMER
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Credential | AUD
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Telephone | 630-474-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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