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General NPI Number Information
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NPI Number | 1043633126
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Entity Type | Organization
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Legal Business Name | SBK HOLDINGS, LLC
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Dates
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Enumeration Date | 01/27/2014
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 1920 CORPORATE DR STE B205
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City | SAN MARCOS
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State | TX
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Zip | 78666-6287
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Country | US
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Telephone | 512-667-6904
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Fax | 512-667-7138
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Provider Business Mailing Address
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Address Line | 1920 CORPORATE DR STE B205
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City | SAN MARCOS
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State | TX
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Zip | 78666-6287
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Country | US
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Telephone | 512-667-6904
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Fax | 512-667-7138
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Authorized Official
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Title or Position | OWNER
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Name | MS. JENNIFER DENISE KOPECKI
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Credential | BC-HIS
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Telephone | 512-667-6904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 332S00000X
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License Number State | TX
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