MEDICARE: ADVANTAGE 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
1	235500000X	Speech/Language/Hearing Specialist/Technologist

General Provider Information

NPI Number	:	1841492535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANTAGE HEARING AID CENTER

Provider Business Mailing Address
First Line	:	5032 S BUR OAK PL
Second Line	:	SUITE 117
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-4224
Country	:	US
Telephone Number	:	605-361-6713
Fax Number	:	605-362-4896

Provider Business Practice Location Address
First Line	:	5032 S BUR OAK PL
Second Line	:	SUITE 117
City	:	SIOUX FALLS
State	:	SD
Zip	:	57108-4224
Country	:	US
Telephone Number	:	605-361-6713
Fax Number	:	605-362-4896

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DENNY J AUSTIN
Credential	:	HCP
Telephone Number	:	605-361-6713

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	06/25/2008

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Directions to “ADVANTAGE HEARING AID CENTER ” Practice Location

Language	Start Address	Practice Location

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