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NPI 1063533057

NPI 1063533057 : BROOKS HEARING & SPEECH CLINIC : PARIS, TX

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General NPI Number Information
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    NPI Number           |    1063533057
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    Entity Type          |    Organization 
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    Legal Business Name  |    BROOKS HEARING & SPEECH CLINIC 
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Dates
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    Enumeration Date     |    04/03/2007
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    Last Update Date     |    02/17/2010
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Provider Practice Location Address
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    Address Line         |    3130 LAMAR 
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-5020
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    Country              |    US
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    Telephone            |    903-737-8800
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    Fax                  |    903-784-8429
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Provider Business Mailing Address
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    Address Line         |    3130 LAMAR 
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    City                 |    PARIS
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    State                |    TX
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    Zip                  |    75460-5020
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    Country              |    US
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    Telephone            |    903-737-8800
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    Fax                  |    903-784-8429
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. JAMI HARRIS BROOKS 
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    Credential           |    MS, CCC-FAAA
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    Telephone            |    903-737-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    14561
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    50734
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    80263
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    50734
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    License Number State |    TX
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