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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","総合病院国保旭中央病院","旭市イ1326番地","小林　麻里","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は実施不可能。それ以外の方法で適合状態を評価"]
["A","創造会平和台病院","我孫子市布佐834-28","久家　純子","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）","必要時、日本医科大学千葉北総病院へ検査を依頼"]
["A","東京歯科大学市川総合病院","市川市菅野5-11-13","飯村　慈朗","いいえ","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","東京歯科大学市川総合病院","市川市菅野５丁目１１−１３","滝澤　悠己","はい","はい","いいえ","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","国立国際医療研究センター国府台病院","市川市国府台1-7-1","渡邊　荘","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","帝京大学ちば総合医療センター","市原市姉崎3426-3","鈴木　雅明","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","千葉県循環器病センター","市原市鶴舞575","丹野　美穗","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","日本医科大学千葉北総病院","印西市鎌苅1715","小町　太郎","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","牧の原なのはな耳鼻咽喉科","印西市草深2220-31","増野　聡","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","千葉ニュータウン駅前耳鼻咽喉科クリニック","印西市中央北１－１ApolloPlant Mall 2F","グンデゥズ　メーメット","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","浦安みみはなのどクリニック","浦安市猫実4丁目18-26","寺田　木の実","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","沼南耳鼻咽喉科","柏市大島田305-5 今川薬品ビル2F","藤原　剛","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は実施不可能。それ以外の方法で適合状態を評価"]
["A","名戸ヶ谷病院耳鼻咽喉科頭頸部外科","柏市新柏2-1-1","横山　純吉","いいえ","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","あらい耳鼻咽喉科クリニック","柏市増尾1-1-1","荒井　秀一","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","浅野耳鼻咽喉科医院","香取市北3-12-13","浅野　貴徳","いいえ","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","君津中央病院","木更津市桜井1010","関田　恭子","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","アクアリハビリテーション病院","木更津市矢那4490-5","馬場　俊吉","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","東邦大学医療センター佐倉病院","佐倉市下志津564－1","吉田　友英","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","みのり耳鼻咽喉科","佐倉市西ユーカリが丘4-1-5","須田　稔士","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","成東耳鼻咽喉科","山武市成東７４４－１　東総ビル２F","小林　正","いいえ","はい","いいえ","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）","聴力検査、補聴器相談技師による補聴器フィッティング"]
["A","太田耳鼻咽喉科医院","千葉市稲毛区稲毛東4-2-2","太田　豊","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","耳鼻咽喉科なかのクリニック","千葉市中央区末広2-12-14","仲野　公一","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","そが耳鼻咽喉科","千葉市中央区南町2-15-15KS･HOYOビル4F","寺田　修久","いいえ","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","神田耳鼻咽喉科医院","千葉市花見川区検見川町3-300-11","留守　卓也","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","アリス耳鼻咽喉科","千葉市花見川区幕張本郷2-36-21 2A","工藤　典代","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","あすみが丘耳鼻咽喉科","千葉市緑区あすみが丘1-19-5","市川　英樹","いいえ","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","おりはら耳鼻咽喉科","千葉市緑区誉田町2-2307","折原　廣己","いいえ","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","玄耳鼻咽喉科院","千葉市美浜区高洲3−14−1","杉田　玄","はい","はい","いいえ","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","みつわ台総合病院","千葉市若葉区若松町531-486","原　佳奈子","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","中村耳鼻咽喉科クリニック","流山市江戸川台東2-314","中村　寧","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","おおたかの森せりざわ耳鼻咽喉科","流山市おおたかの森北1丁目4-1　ソライエグラン流山おおたかの森ソライエスクエア1階","芹澤　富士子","はい","はい","いいえ","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","国際医療福祉大学成田病院","成田市畑ケ田852","野口　佳裕","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","（医療法人社団）協俊会　寺田医院","船橋市宮本6-26-18","寺田　俊昌","いいえ","いいえ","いいえ","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","いろは耳鼻咽喉科","船橋市本中山2-15-12-3F","吉田　知彦","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","医療法人社団結輝会　松戸耳鼻咽喉科","松戸市胡録台210-2","田村　裕也","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は実施不可能。それ以外の方法で適合状態を評価"]
["A","日本大学松戸歯学部付属病院耳鼻咽喉科・頭頸部外科","松戸市栄町西２−８７０−１","丹羽　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）","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","こばやし耳鼻咽喉科","松戸市新松戸2-115-1　松本ビル5階","小林　大輔","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","医療法人杉田会　杉田耳鼻咽喉科医院","茂原市千代田町２－８","杉田　佳信","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","東京女子医科大学附属八千代医療センター","八千代市大和田新田477-96","三枝　英人","いいえ","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","東京女子医科大学附属　八千代医療センター","八千代市大和田新田477-96","門園　修","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","島田台総合病院","八千代市島田台887-7","鈴木　光也","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","栗山中央病院","四街道市栗山906−１","吉田　泰行","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","医療法人社団哲健会島田耳鼻咽喉科医院","四街道市大日428−38","島田　健一","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（聴力検査と語音明瞭度検査のみ）"]
["A","はやし耳鼻咽喉科","四街道市めいわ4-3-22","林　政一","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"]
["C","豊四季台耳鼻咽喉科","柏市旭町7-1-5","小林　憲明","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","柏厚生総合病院","柏市篠籠田617番地","本庄　需","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","柏愛耳鼻咽喉科","柏市松ヶ崎726－10","高石　秀峰","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は実施不可能。それ以外の方法で適合状態を評価"]
["C","医療法人社団東邦鎌谷病院","鎌ケ谷市粟野594","高木　芳夫","はい","いいえ","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","亀田総合病院","鴨川市東町929","越智　篤","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","ふぁみーゆ耳鼻咽喉科クリニック","鴨川市横渚1103-8","高橋　雅章","いいえ","いいえ","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","ゆり耳鼻咽喉科","佐倉市ユーカリが丘4-1-1　イーストタワー２階","鏡　由里子","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","のむら耳鼻咽喉科","千葉市稲毛区長沼原町７９４－１","野村　知弘","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は実施不可能。それ以外の方法で適合状態を評価"]
["C","千葉駅みみはなクリニック","千葉市中央区新千葉1-1-1 ペリエ千葉6階","森本　侑樹","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","日吉台病院","富里市日吉台1-6-2","山本　昌彦","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","宮尾耳鼻咽喉科","習志野市津田沼1-21-31","宮尾　源二郎","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","小張総合病院小児難聴言語外来","野田市横内29-1","森田　訓子","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","あさひ耳鼻咽喉科（西船橋）","船橋市葛飾町2丁目335-1アルマース2番館2階","市川　朝也","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","船橋総合病院","船橋市北本町1-13-1","中村　裕之","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","船橋駅前みみはなクリニック","船橋市本町7-6-1　船橋ツインビル東館6階","上田　結花里","いいえ","いいえ","はい","認定補聴器専門店へ紹介する","紹介した認定補聴器専門店よりフィードバックあり"]
["C","塚田耳鼻咽喉科医院","船橋市前貝塚町565-11","原田　宏美","はい","いいえ","いいえ","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は実施不可能。それ以外の方法で適合状態を評価"]
["C","下総中山耳鼻咽喉科","船橋市本中山2-10-1ミレニティ中山4F","本杉　英昭","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","日野耳鼻咽喉科医院","八街市八街ほ215-3","日野　剛","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","あきやま耳鼻咽喉科","八千代市八千代台南２－２－１４","秋山　由香里","はい","いいえ","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"]
["E","小張総合病院","野田市横内29－1","飯川　延子","はい","はい","はい","自施設で対応または認定補聴器店に紹介","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"]