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General NPI Number Information
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NPI Number | 1942510136
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Entity Type | Organization
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Legal Business Name | ULTIMATE HEARING OLUTIONS DBA
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 815 FAYETTE STREET SUITE 200
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428
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Country | US
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Telephone | 610-825-1797
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Fax | 610-825-1801
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Provider Business Mailing Address
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Address Line | 815 FAYETTE STREET SUITE 200
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City | CONSHOHOCKEN
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State | PA
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Zip | 19428
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Country | US
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Telephone | 610-825-1797
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Fax | 610-825-1801
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Authorized Official
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Title or Position | SVP OF OPERATIONS
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Name | MRS. SHIRLEY M DOMINICK
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Credential |
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Telephone | 610-825-1797
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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 | PA F2971
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License Number State | PA
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