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NPI Code Detail

MEDICARE: ADVANCED QUALITY HEARING SYSTEMS

MEDICARE: ADVANCED QUALITY HEARING SYSTEMS
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
1237700000XHearing Instrument SpecialistAS2708FL

General Provider Information

NPI Number : 1447647011
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED QUALITY HEARING SYSTEMS
Provider Business Mailing Address
First Line : 2900 W SAMPLE RD # 129
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33073-3024
Country : US
Telephone Number : 954-975-5756
Fax Number :
Provider Business Practice Location Address
First Line : 2900 W SAMPLE RD # 129
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33073-3024
Country : US
Telephone Number : 954-975-5756
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. KENNETH ANTHONY FREIA
Credential : H.A.S
Telephone Number : 954-975-5756
Provider Enumeration Date : 04/22/2015
Last Update Date : 04/22/2015

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1134595481 — KENNETH ANTHONY FREIA H.A.S.
Practice Location Address:
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Practice Fax:

Directions to “ADVANCED QUALITY HEARING SYSTEMS ” Practice Location

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