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General NPI Number Information
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NPI Number | 1932144425
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Entity Type | Organization
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Legal Business Name | AUDICARE HEARING CENTERS INC.
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 4620 US 31 N
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-3757
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Country | US
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Telephone | 231-238-3111
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Fax | 231-238-3218
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Provider Business Mailing Address
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Address Line | 4620 US 31 N
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-3757
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Country | US
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Telephone | 231-238-3111
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Fax | 231-238-3218
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARLENE A BEVAN
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Credential | PHD
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Telephone | 231-238-3111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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