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General NPI Number Information
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NPI Number | 1952545402
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Entity Type | Organization
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Legal Business Name | HEARMORE HEARING AID CENTER
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 1445 WHITE BEAR AVE N
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City | SAINT PAUL
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State | MN
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Zip | 55106-2404
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Country | US
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Telephone | 651-771-4019
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Fax | 651-771-9941
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Provider Business Mailing Address
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Address Line | 1445 WHITE BEAR AVE N
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City | SAINT PAUL
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State | MN
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Zip | 55106-2404
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Country | US
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Telephone | 651-771-4019
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Fax | 651-771-9941
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Authorized Official
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Title or Position | MANAGER
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Name | ALICE ELIZABETH OLSON
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Credential |
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Telephone | 651-771-4019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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