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General NPI Number Information
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NPI Number | 1952291320
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Entity Type | Organization
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Legal Business Name | INNEREAR BALANCE & HEARING CENTER LLC
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 10350 N VANCOUVER WAY (TEMPORARY ADDRESS) SUITE 63102
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City | PORTLAND
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State | OR
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Zip | 97217
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Country | US
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Telephone | 616-214-9794
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Fax |
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Provider Business Mailing Address
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Address Line | 10350 N VANCOUVER WAY (TEMPORARY ADDRESS) SUITE 63102
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City | PORTLAND
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State | OR
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Zip | 97217
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Country | US
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Telephone | 616-214-9794
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Fax | 800-991-2996
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. FEBEN KURBAN
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Credential | AU.D.
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Telephone | 616-214-9794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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