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General NPI Number Information
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NPI Number | 1033386917
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Entity Type | Organization
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Legal Business Name | AUDIO EAR LLC
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Dates
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Enumeration Date | 05/10/2008
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Last Update Date | 05/10/2008
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Provider Practice Location Address
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Address Line | 2840 KELLER SPRINGS RD SUITE 901
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City | CARROLLTON
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State | TX
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Zip | 75006-4829
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Country | US
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Telephone | 972-416-8500
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Fax | 972-416-8508
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Provider Business Mailing Address
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Address Line | 2840 KELLER SPRINGS RD SUITE 901
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City | CARROLLTON
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State | TX
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Zip | 75006-4829
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Country | US
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Telephone | 972-416-8500
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Fax | 972-416-8508
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Authorized Official
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Title or Position | OWNER
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Name | MR. MUGEER S OMAR
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Credential |
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Telephone | 972-416-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 50405
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License Number State | TX
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