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General NPI Number Information
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NPI Number | 1033884150
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Entity Type | Individual
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Provider Name | MACY TRUNCALI AU.D.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 23543 KINGSLAND BLVD STE 100
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City | KATY
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State | TX
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Zip | 77494-3962
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Country | US
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Telephone | 281-693-0084
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Fax |
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Provider Business Mailing Address
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Address Line | 450 GEARS RD STE 420
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City | HOUSTON
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State | TX
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Zip | 77067-4529
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 81259
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License Number State | TX
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