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General NPI Number Information
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NPI Number | 1942614094
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Entity Type | Organization
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Legal Business Name | SAN RAFAEL HEARING CENTER
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Dates
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Enumeration Date | 06/17/2014
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Last Update Date | 06/17/2014
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Provider Practice Location Address
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Address Line | 6518 E CARONDELET DR.
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City | TUCSON
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State | AZ
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Zip | 85710
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Country | US
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Telephone | 520-721-4554
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Fax | 888-422-1773
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Provider Business Mailing Address
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Address Line | 6518 E CARONDELET DR.
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City | TUCSON
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State | AZ
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Zip | 85710
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Country | US
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Telephone | 520-721-4554
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Fax | 888-422-1773
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | RILEY J BARNEY
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Credential | M.S.
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Telephone | 520-721-4554
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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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