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Organization
TRACIE EDWARDS DBA THE HEARING AID SHOP
Active
Organization
TRACIE EDWARDS DBA THE HEARING AID SHOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE DAWN EDWARDS (OWNER)
(585) 928-1657
Entity
Organization
Contact information
Practice address
7760 ROUTE 417 W, BOLIVAR, NY 14715-9602
(585) 928-1657
(585) 928-1625
Mailing address
7760 ROUTE 417 W, BOLIVAR, NY 14715-9602
(585) 928-1657
(585) 928-1625
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
15000016138
NY
332BC3200X
Customized Equipment (DME)
F03199
PA
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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