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NPI Code Detail

MEDICARE: JULIE ANN HENKE

MEDICARE: JULIE ANN HENKE
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 Specialist02582OH

General Provider Information

NPI Number : 1659888154
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANN HENKE
Provider Business Mailing Address
First Line : 555 W HIGH AVE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2005
Country : US
Telephone Number : 330-339-5700
Fax Number : 330-339-5501
Provider Business Practice Location Address
First Line : 555 W HIGH AVE
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-2005
Country : US
Telephone Number : 330-339-5700
Fax Number : 330-339-5501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2018
Last Update Date : 01/05/2018

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