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NPI Code Detail

MEDICARE: RESERVE HEARING AID CENTER

MEDICARE: RESERVE HEARING AID 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
1332S00000XHearing Aid Equipment

General Provider Information

NPI Number : 1700262573
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESERVE HEARING AID CENTER
Provider Business Mailing Address
First Line : 5311 NORTHFIELD RD
Second Line :
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1188
Country : US
Telephone Number : 440-376-5406
Fax Number :
Provider Business Practice Location Address
First Line : 5311 NORTHFIELD RD
Second Line :
City : BEDFORD HEIGHTS
State : OH
Zip : 44146-1188
Country : US
Telephone Number : 440-376-5406
Fax Number :
Authorized Official
Title or Position : AUDIOLOGIST
Name : CHRISTOPHER WHITTEN
Credential : AUD
Telephone Number : 440-376-5406
Provider Enumeration Date : 08/04/2015
Last Update Date : 08/04/2015

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Directions to “RESERVE HEARING AID CENTER ” Practice Location

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