MEDICARE: HEAR HERE HEARING CENTERS, 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
1	231H00000X	Audiologist

General Provider Information

NPI Number	:	1427319862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEAR HERE HEARING CENTERS, LLC

Provider Business Mailing Address
First Line	:	1212 WOODHURST ST
Second Line	:	SUITE B
City	:	BOWLING GREEN
State	:	KY
Zip	:	42104-3369
Country	:	US
Telephone Number	:	270-842-3277
Fax Number	:

Provider Business Practice Location Address
First Line	:	4825 TROUSDALE DR
Second Line	:	SUITE 214
City	:	NASHVILLE
State	:	TN
Zip	:	37220-1335
Country	:	US
Telephone Number	:	270-842-3277
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	PAUL RESS
Credential	:
Telephone Number	:	270-842-3277

Provider Enumeration Date	:	06/01/2012
Last Update Date	:	06/01/2012

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