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NPI Code Detail

MEDICARE: BALANCE AND EAR CENTER

MEDICARE: BALANCE AND EAR CENTER
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
1231H00000XAudiologist2102002786VA

General Provider Information

NPI Number : 1124409651
Entity Type Code : Organization
Provider Name (Legal Business Name) : BALANCE AND EAR CENTER
Provider Business Mailing Address
First Line : 10200 THREE CHOPT RD
Second Line :
City : HENRICO
State : VA
Zip : 23233-2083
Country : US
Telephone Number : 804-288-3277
Fax Number : 804-282-1043
Provider Business Practice Location Address
First Line : 10200 THREE CHOPT RD
Second Line :
City : HENRICO
State : VA
Zip : 23233-2083
Country : US
Telephone Number : 804-288-3277
Fax Number : 804-282-1043
Authorized Official
Title or Position : PRACTICE MANAGER
Name : MS. KATHLEEN E EDDOWES
Credential : COPM
Telephone Number : 804-288-3277
Provider Enumeration Date : 06/10/2015
Last Update Date : 06/10/2015

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Directions to “BALANCE AND EAR CENTER ” Practice Location

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