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General NPI Number Information
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NPI Number | 1972767697
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Entity Type | Organization
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Legal Business Name | LIONS HEARING CENTER
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Dates
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Enumeration Date | 07/11/2008
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 4201 SAINT ANTOINE ST STE 5E
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-745-4651
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 WOODWARD AVE SUITE 600
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City | SOUTHFIELD
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State | MI
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Zip | 48034
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | KENNETH P LEE
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Credential |
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Telephone | 313-577-8112
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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 |
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License Number State |
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