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Organization

ADVANCED HEARING AID SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE ROUSH (OWNER)
(309) 797-7160
Entity
Organization

Contact information

Practice address
1554 52ND AVE, MOLINE, IL 61265-7077
(309) 797-7160
Mailing address
1554 52ND AVE, MOLINE, IL 61265-7077
(309) 797-7160

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588800544
NPI 1
IL
Enumeration date
11/15/2012
Last updated
11/15/2012
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