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General NPI Number Information
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NPI Number | 1003352741
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Entity Type | Organization
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Legal Business Name | MASTERS HEARING AID CENTER, INC.
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Dates
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Enumeration Date | 01/18/2017
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Last Update Date | 01/18/2017
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Provider Practice Location Address
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Address Line | 4220 WENDOVER AVE STE A
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City | ODESSA
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State | TX
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Zip | 79762-5925
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Country | US
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Telephone | 432-557-2702
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60449
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City | MIDLAND
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State | TX
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Zip | 79711-0449
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Country | US
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Telephone | 432-557-2702
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Fax | 832-369-7394
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Authorized Official
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Title or Position | OWNER
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Name | MIKE FAIN
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Credential | BC-HIS
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Telephone | 432-557-2702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 80240
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License Number State | TX
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