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NPI Code Detail

MEDICARE: FAMILY HEARING AID SERVICE

MEDICARE: FAMILY HEARING AID SERVICE
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
1251E00000XHome Health AgencyFO2739PA

General Provider Information

NPI Number : 1386879575
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HEARING AID SERVICE
Provider Business Mailing Address
First Line : 1821 LEXINGTON AVE
Second Line :
City : MIDDLETOWN
State : PA
Zip : 17057-3486
Country : US
Telephone Number : 717-939-5783
Fax Number :
Provider Business Practice Location Address
First Line : 1821 LEXINGTON AVE
Second Line :
City : MIDDLETOWN
State : PA
Zip : 17057-3486
Country : US
Telephone Number : 717-939-5783
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. FREDERICK BURTON PECK
Credential : HEARING INSTRUMENT S
Telephone Number : 717-939-5783
Provider Enumeration Date : 05/18/2009
Last Update Date : 05/18/2009

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Directions to “FAMILY HEARING AID SERVICE ” Practice Location

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