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Organization
REVIVE HEARING CENTERS OF INDIANA LLC
Active
Organization
REVIVE HEARING CENTERS OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDITH LYNNE HOWSER (MANAGER)
(317) 570-4401
Entity
Organization
Contact information
Practice address
9748 LANTERN RD, FISHERS, IN 46037-9612
(317) 570-4401
(317) 570-4403
Mailing address
9748 LANTERN RD, FISHERS, IN 46037-9612
(317) 570-4401
(317) 570-4403
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23002010A
IN
237600000X
Audiologist-Hearing Aid Fitter
23002010A
IN
237700000X
Hearing Instrument Specialist
17001288A
IN
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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