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["区分","勤務先","勤務先住所","氏名","3. 補聴器相談医の資格をお持ちですか","4. 補聴器適合判定医師研修会を修了していますか","5. 身体障害者福祉法第15条指定医でしょうか","6. 患者さんに補聴器を提案する際の対応について教えて下さい","10. 補聴器適合状態の評価に対する補聴器適合検査はどのように行っていますか？"]
["A","碓氷病院","安中市原市","高橋　克昌","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","その他：認定補聴器から持ち込んで適合検査している"]
["A","松井田病院","安中市松井田町新堀1300－1","小板橋　佐知子","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","伊勢崎市民病院","伊勢崎市連取本町１２−１","御任　一光","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","行っていない"]
["A","タガヤジビインコウカイイン","伊勢崎市連取町1691－3","多賀谷　泰弘","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["A","設楽耳鼻咽喉科医院","伊勢崎市平和町25-30","設楽　直也","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","板倉耳鼻咽喉科クリニック","邑楽郡板倉町海老瀬4064-5","瀬嶋　尊之","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定は実施不可能。それ以外の方法で適合状態を評価"]
["A","耳鼻咽喉科設楽医院","桐生市相生町2-471-7","設楽 公一","はい","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","行っていない"]
["A","桐生厚生総合病院","桐生市織姫","梅村　崇","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","医療法人　川島医院","渋川市渋川1770","川島　理","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["A","耳鼻咽喉科はるクリニック","高崎市江木町230-1","塚田　晴代","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定は実施不可能。それ以外の方法で適合状態を評価"]
["A","医療法人多聞会たかさき耳鼻咽喉科","高崎市上大類町1277-1","長井　今日子","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","細谷医院","富岡市富岡1048","細谷　睦","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","医療法人　滝田医院","富岡市富岡1473-8","瀧田　留美","はい","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["A","むらた耳鼻咽喉科クリニック","沼田市高橋場町2059-8","村田　考啓","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["A","小原沢耳鼻咽喉科医院","前橋市青柳町362","小原澤　昌子","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","群馬大学医学部附属病院","前橋市昭和町3－39－15","近松　一朗","はい","いいえ","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","群馬大学医学部附属病院","前橋市昭和町３－３９－２２","茂木 雅臣","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["A","川島クリニック","前橋市西片貝町1−212−３","川島　秀夫","はい","はい","はい","自施設で補聴器装用まで対応する\n（補聴器外来や補聴器診療）","行っていない"]
["C","社会医療法人鶴谷会鶴谷病院","伊勢崎市境百々421","飯田　英基","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","広瀬耳鼻咽喉科医院","伊勢崎市ひろせ町4084-6","頌彦　真賢","はい","いいえ","いいえ","認定補聴器専門店へ紹介する","行っていない"]
["C","佐川医院","伊勢崎市緑町５ー３","佐川　鉄太郎","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","まえはら耳鼻咽喉科クリニック","太田市下小林町192-1","前原　良路","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","吉岡ちよだ耳鼻咽喉科","北群馬郡吉岡町大久保2176-1","千代田　朋子","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","めぐみクリニック","佐波郡玉村町下新田１１１９-６","塚田　悦恵","はい","いいえ","はい","認定補聴器専門店へ紹介する","行っていない"]
["C","渋川医療センター","渋川市白井383","岡本　彩子","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","いいづかたきた医院","高崎市沖町203-4","滝田　和志","いいえ","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","耳鼻咽喉科田中医院","高崎市鍛冶町43","田中　聖","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","耳鼻咽喉科 長谷川医院","高崎市片岡町２丁目２９−２","長谷川　央","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","サンピエール病院","高崎市上佐野町786−7","村上　由華","はい","いいえ","はい","認定補聴器専門店へ紹介する","行っていない"]
["C","医療法人清水耳鼻咽喉科","高崎市京目町321-4","清水　祐二","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","耳鼻いんこう科伊藤医院","高崎市倉賀野町798-12","伊藤　和也","はい","はい","はい","認定補聴器専門店へ紹介する","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["C","ぐんま耳鼻咽喉科クリニック","高崎市冷水町130-1","坂倉　浩一","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","耳鼻咽喉科 角田医院","高崎市若松町１４５","片平　文","はい","はい","いいえ","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","なるしま耳鼻咽喉科クリニック","館林市大谷町1054-3","川田　倫之","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","阪本耳鼻咽喉科医院","富岡市富岡1078","阪本 重之","いいえ","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","城西クリニック","前橋市国領町","三浦　信明","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","耳鼻咽喉科とよだクリニック","前橋市駒形町557-1","豊田　実","はい","いいえ","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","赤沢耳鼻咽喉科医院","前橋市城東町５丁目８−４","廣瀬　理恵子","はい","いいえ","はい","認定補聴器専門店へ紹介する","行っていない"]
["C","群馬大学医学部附属病院","前橋市昭和町3-39-15","松山　敏之","いいえ","いいえ","はい","認定補聴器専門店へ紹介する","自施設で音場の語音明瞭度検査・補聴器装用閾値測定を施行"]
["C","医療法人竹越耳鼻科咽喉医院","前橋市住吉町1-16-12","竹越　哲男","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","牧耳鼻咽喉科医院","前橋市総社町総社２７２０","牧　清人","はい","はい","はい","認定補聴器専門店へ紹介する","自施設ではできないが、補聴器効果測定が可能な認定補聴器専門店と連携して評価"]
["C","かねこ耳鼻咽喉科クリニック","みどり市笠懸町阿左美１３１１－１","金子　功","はい","はい","はい","認定補聴器専門店へ紹介する","行っていない"]
["C","さくら耳鼻咽喉科","みどり市笠懸町鹿２５６６−１２","櫻井　努","はい","はい","はい","認定補聴器専門店へ紹介する","行っていない"]