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General NPI Number Information
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NPI Number | 1922133990
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Entity Type | Organization
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Legal Business Name | COVINA HEARING AID CENTER, INC
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 09/13/2007
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Provider Practice Location Address
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Address Line | 19523 E CYPRESS ST STE D
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City | COVINA
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State | CA
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Zip | 91724-2066
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Country | US
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Telephone | 626-915-0780
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Fax |
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Provider Business Mailing Address
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Address Line | 19523 E CYPRESS ST STE D
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City | COVINA
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State | CA
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Zip | 91724-2066
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Country | US
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Telephone | 626-915-0780
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RUDY H STANOWSKY
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Credential |
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Telephone | 626-915-0780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA0013470
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License Number State | CA
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