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General NPI Number Information
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NPI Number | 1063339810
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Entity Type | Individual
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Provider Name | TROY BIRMINGHAM HIS
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Gender | Male
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 3310 4TH ST
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City | LONGVIEW
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State | TX
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Zip | 75605-7954
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Country | US
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Telephone | 903-475-0028
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Fax |
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Provider Business Mailing Address
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Address Line | 510B E LOOP 281 # 701
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City | LONGVIEW
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State | TX
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Zip | 75605-5000
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Country | US
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Telephone | 318-834-4827
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 80914
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License Number State | TX
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