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NPI 1093985046

NPI 1093985046 : JACK JONES HEARING CENTER, INC : LONGVIEW, TX

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General NPI Number Information
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    NPI Number           |    1093985046
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    Entity Type          |    Organization 
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    Legal Business Name  |    JACK JONES HEARING CENTER, INC 
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Dates
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    Enumeration Date     |    03/06/2008
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    3211 4TH ST STE B 
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    City                 |    LONGVIEW
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    State                |    TX
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    Zip                  |    75605-5145
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    Country              |    US
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    Telephone            |    903-758-8346
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    Fax                  |    903-757-7876
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Provider Business Mailing Address
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    Address Line         |    750 N COMMONS DR STE 200 
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    City                 |    AURORA
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    State                |    IL
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    Zip                  |    60504-8025
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    Country              |    US
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    Telephone            |    630-303-5380
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    Fax                  |    630-330-5385
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Authorized Official
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    Title or Position    |    VP, FINANCE AND CONTROLLING
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    Name                 |     VICKI  COLE 
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    Credential           |    
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    Telephone            |    331-305-8086
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    
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    License Number State |    
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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       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    332S00000X
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    Taxonomy Name        |    Hearing Aid Equipment
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    License Number       |    
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    License Number State |    
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