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General NPI Number Information
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NPI Number | 1982735098
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Entity Type | Organization
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Legal Business Name | WATERTOWN HEARING AID CENTER INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 20053 SUMMIT VIEW BLVD STE 3
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City | WATERTOWN
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State | NY
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Zip | 13601-3619
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Country | US
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Telephone | 315-788-5249
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Fax | 315-782-2464
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Provider Business Mailing Address
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Address Line | 20053 SUMMIT VIEW BLVD STE 3
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City | WATERTOWN
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State | NY
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Zip | 13601-3619
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Country | US
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Telephone | 315-788-5249
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Fax | 315-782-2464
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | MR. WILLIAM GLENN HARTMAN
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Credential |
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Telephone | 315-788-5249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | C004651-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 15000006650
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License Number State | NY
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