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General NPI Number Information
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NPI Number | 1992120505
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Entity Type | Organization
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Legal Business Name | MACOMB HEARING AID CENTER
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 27041 SCHOENHERR RD STE B
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City | WARREN
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State | MI
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Zip | 48088-6674
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Country | US
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Telephone | 586-756-7700
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Fax | 586-756-7711
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Provider Business Mailing Address
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Address Line | 27041 SCHOENHERR RD STE B
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City | WARREN
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State | MI
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Zip | 48088-6674
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Country | US
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Telephone | 586-756-7700
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Fax | 586-756-7711
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Authorized Official
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Title or Position | OWNER
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Name | JOHN SAUNDERS
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Credential |
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Telephone | 586-756-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3501001819
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License Number State | MI
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