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NPI Code Detail

MEDICARE: ADVANCED HEARING SOLUTIONS, LLC

MEDICARE: ADVANCED HEARING SOLUTIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid Fitter
2332B00000XDurable Medical Equipment & Medical Supplies
3261QH0700XHearing and Speech Clinic/Center

General Provider Information

NPI Number : 1013654003
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED HEARING SOLUTIONS, LLC
Provider Business Mailing Address
First Line : 4940 5TH ST STE 2B
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6026
Country : US
Telephone Number : 605-415-0038
Fax Number :
Provider Business Practice Location Address
First Line : 4940 5TH ST STE 2B
Second Line :
City : RAPID CITY
State : SD
Zip : 57701-6026
Country : US
Telephone Number : 605-415-0038
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : TAMMY VON COLLN
Credential :
Telephone Number : 605-415-0038
Provider Enumeration Date : 05/19/2022
Last Update Date : 05/19/2022

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Directions to “ADVANCED HEARING SOLUTIONS, LLC ” Practice Location

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