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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","医療法人A.M.G　麻生耳鼻咽喉科クリニック","飯塚市堀池254-2","麻生　丈一朗","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","宮嶋耳鼻咽喉科","飯塚市南尾４００－１","宮嶋　義巳","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","フクヨ耳鼻咽喉科医院","糸島市前原中央2-13-25","福與　和正","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　松田耳鼻咽喉科医院","大川市榎津280-53","松田　知愛","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","倉富クリニック","大川市酒見507-5","川副　みちる","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","かみむら耳鼻咽喉科","大牟田市明治町1-2-1","上村　弘行","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","はら耳鼻咽喉科","遠賀郡水巻町頃末北4-7-3","原　崇","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","本田耳鼻咽喉科医院","春日市上白水3-81","本田　晴久","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","福岡徳洲会病院","春日市須玖北4-5","田畑　貴久","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","医療法人　あいりお耳鼻科","糟屋郡宇美町明神坂2丁目1-27","馬渕　英彰","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","みみ・はな・のど　きりんクリニック新宮","糟屋郡新宮町三代西2丁目15-23","安井　徹郎","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","九州労災病院","北九州市小倉南区曽根北町１−１","花栗　誠","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","医療法人有愛会　一枝クリニック","北九州市戸畑区一枝2-3-26","江島　正義","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","門司掖済会病院","北九州市門司区清滝1-3-1","成山　謙一","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は実施不可能。それ以外の方法で適合状態を評価"]
["A","医）脇園耳鼻咽喉科医院","北九州市八幡西区千代ヶ崎2-1-14","脇園　茂樹","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","医療法人吉和会　こいずみ耳鼻咽喉科","北九州市若松区本町3-2-9","小泉　弘樹","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","久留米大学病院","久留米市旭町67","佐藤　公宣","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","（医）はかたみち　はかたみち耳鼻咽喉科","久留米市東櫛原町450-1","宮地　英彰","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","あらき耳鼻咽喉科クリニック","久留米市御井町2022-1","荒木　謙三","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","社会医療法人天神会　古賀病院21","久留米市宮ノ陣３丁目3ー8","鈴木　久美子","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","耳・花・のど　きりんクリニック古賀","古賀市今の庄2-2-14","石津　和幸","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","医療法人耳鼻咽喉科たか野クリニック","太宰府市大佐野３－１－６０","高野　潤","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","藤村医院耳鼻咽喉科","太宰府市通古賀2-3-16","藤村　武之","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を施行"]
["A","じんのうち耳鼻咽喉科","那珂川市松木1-146","陣内　進也","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","たけすえ耳鼻科クリニック","那珂川市道善５−２５","武末　淳","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","たけとみ耳鼻咽喉科クリニック","福岡市早良区有田５丁目２３－２７","武富　正夫","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","福岡歯科大学医科歯科総合病院","福岡市早良区田村","山野　貴史","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　平田耳鼻咽喉科医院","福岡市城南区荒江１−２８−２０","平田　昭二","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","にしぞの耳鼻咽喉科クリニック","福岡市城南区田島3-19-5","西園　正寿男","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","福岡大学病院","福岡市城南区七隈7-45-1　　","坂田　俊文","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","河野耳鼻咽喉科Ear Surgi Clinic","福岡市中央区高砂1丁目21－28","河野　浩万","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","福岡市立心身障害福祉センター","福岡市中央区長浜1丁目２-８","山下　道子","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","浜の町病院","福岡市中央区長浜3-3-1","土橋　奈々","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","みみ・はな・のど　せがわクリニック","福岡市中央区那の川2-10-25-1階","瀬川　祐一","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"]
["A","まつばら耳鼻咽喉科","福岡市西区姪の浜5-7-23","松原　尚子","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","南福岡耳鼻咽喉科","福岡市博多区寿町2-9-30　南福岡駅ビル2階","宿久　修","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","公益社団法人　福岡医療団　千鳥橋病院　耳鼻咽喉科・頭頸部外科","福岡市博多区千代５－１８－１","久保　和彦","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","医療法人みみ・はな・のど　たけどみクリニック","福岡市博多区博多駅南6-1-10","武富　弘敬","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　ほうち耳鼻咽喉科","福岡市博多区東那珂3-2-30","寳地　信介","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","あだち耳鼻咽喉科","福岡市東区名島2-30-16","安達　一雄","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","松田耳鼻咽喉科","福岡市東区箱崎2-10-2","江﨑　嘉十","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","九州大学病院","福岡市東区馬出3-1-1","野田　哲平","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","福岡赤十字病院","福岡市南区大楠3-1-1","髙岩　一貴","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","宗像水光会病院","福津市 日蒔野5丁目7番1号 ","藤浦　仁美","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","川崎耳鼻咽喉科医院","柳川市上町５１－１","川崎　洋","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","まえだ耳鼻咽喉科クリニック","八女市稲富136-1","前田　明輝","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","新田原耳鼻咽喉科クリニック","行橋市道場寺1464-2","松下　太","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"]
["B","たしろ代謝内科クリニック","福岡市城南区樋井川3-5-11","渡邉　宏","はい","いいえ","いいえ","補聴器診療が可能な医療機関へ紹介する","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","末吉耳鼻咽喉科クリニック","春日市春日原東町3-38","末吉　誠一","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","医療法人むらつか耳鼻咽喉科クリニック","糟屋郡粕屋町若宮2-6-1","村塚　幸穂","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","毛利耳鼻咽喉科クリニック","糟屋郡篠栗町尾仲513-1","毛利　毅","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","鳥居耳鼻咽喉科医院","北九州市小倉北区京町１－３－２４","鳥居　理子","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","しおもりクリニック","北九州市小倉北区日明2-9-3","塩盛　輝夫","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","安元耳鼻咽喉科医院","北九州市小倉北区原町２-6-20","安元　義博","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","医療法人さがら耳鼻咽喉科医院","北九州市門司区東門司1-1-17","相良　哲哉","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","産業医科大学","北九州市八幡西区医生ケ丘1-1","堀　龍介","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","井立耳鼻咽喉科医院","北九州市八幡西区下上津役1-10-16","井立　睦子","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","医療機関さとう耳鼻咽喉科医院","北九州市八幡西区八枝3丁目12-2","佐藤　祐司","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","ごしま耳鼻咽喉科","北九州市八幡東区高見2-8-3","五島　桂子","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","医療法人北尾耳鼻咽喉科医院","北九州市若松区高須東３－１３－７","北尾　健二郎","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","萩尾耳鼻咽喉科医院","久留米市北野町八重亀90-1","萩尾　良文","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","川口耳鼻咽喉科医院","久留米市櫛原町２－３","川口　壽郎","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","わたなべ耳鼻咽喉科医院","久留米市大善寺南１－１０－２８","渡邉　滋之","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","三橋耳鼻咽喉科クリニック","久留米市日吉町107-1","三橋　敏雄","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","わかば耳鼻咽喉科アレルギー科クリニック","筑紫野市原田７丁目９番地２","安部　次男","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","医療法人　黒木耳鼻咽喉科医院","筑紫野市二日市北1-1-10","黒木　岳人","いいえ","はい","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　安元耳鼻咽喉科医院","筑紫野市二日市西1-6-1","安元　誠司","いいえ","はい","はい","認定補聴器専門店へ紹介する","行っていない"]
["C","山口耳鼻咽喉科医院","直方市須崎町4-30","山口　隆","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","ふじい耳鼻咽喉科クリニック","福岡市早良区藤崎1-1-32 GATE HOPE藤崎3F","藤井　加奈子","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","医療法人　西耳鼻咽喉科医院","福岡市早良区南庄2丁目13-12 ","西　憲祐","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","古小烏耳鼻咽喉科医院","福岡市中央区警固3-3-2","柴田　憲助","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","医療法人浩仁会耳鼻咽喉科柴田クリニック","福岡市中央区渡辺通２－１－１２","迫　真矢子","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","しばた耳鼻咽喉科","福岡市西区今宿3丁目4-37","柴田　修明","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","うれしの耳鼻咽喉科クリニック","福岡市西区周船寺1－10－10","嬉野　元喜","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","宗耳鼻咽喉科医院","福岡市西区姪の浜1-16-30","宗　信夫","いいえ","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","矢野耳鼻咽喉科","福岡市西区姪浜駅南2-1-34","矢野　玄","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","益田耳鼻咽喉科医院","福岡市西区姪浜駅南２丁目３０－５","益田　明典","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","いなば耳鼻咽喉科","福岡市博多区東月隈４－２－５","因幡　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","医療法人　野上耳鼻咽喉科医院","福岡市南区長住5-11-25","野上　兼一郎","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　平木医院","みやま市瀬高町下庄1536−7","平木　基裕","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","千々和耳鼻科医院","宮若市本城729－3","千々和　圭一","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","大渕耳鼻咽喉科クリニック","八女市本村691-1","大渕　晋輔","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","耳鼻咽喉科　木村医院","行橋市中央２－８－２５","木村　謙一","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"]
["E","健和会大手町病院　(全日常勤は本年中)","北九州市小倉北区大手町13-1","土生　秀明","はい","はい","はい","補聴外来で検査、試聴　以後担当技能者の訪問等の後報告情報のやりとり。","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"]