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Organization

MIAMI VALLEY HEARING AND BALANCE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN CARPENTER AUD (BUSINESS OWNER/AUDIOLOGIST)
(937) 435-5033
Entity
Organization

Contact information

Practice address
4720 WILMINGTON PIKE, KETTERING, OH 45440-2021
(937) 435-5033
(937) 435-5512
Mailing address
4720 WILMINGTON PIKE, KETTERING, OH 45440-2021
(937) 435-5033
(937) 435-5512

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
A-1009
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0155759
OH
01
H457790
MEDICARE PTAN
OH
Enumeration date
03/23/2016
Last updated
03/23/2016
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