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General NPI Number Information
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NPI Number | 1992243562
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Entity Type | Organization
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Legal Business Name | MIDWEST MEDICAL HEARING CENTERS, INC.
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 3526 OSBORNE LN SUITE D
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City | LAFAYETTE
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State | IN
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Zip | 47909-3998
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Country | US
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Telephone | 765-471-2111
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Fax | 765-471-2112
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Provider Business Mailing Address
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Address Line | 3526 OSBORNE LN SUITE D
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City | LAFAYETTE
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State | IN
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Zip | 47909-3998
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Country | US
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Telephone | 765-471-2111
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Fax | 765-471-2112
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLEY CASH
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Credential | BC-HIS
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Telephone | 317-402-6578
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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 | 17001329A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 17001329A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 17001329A
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License Number State | IN
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