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General NPI Number Information
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NPI Number | 1104553551
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Entity Type | Organization
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Legal Business Name | ALL STAR AUDIOLOGY PLLC
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Dates
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Enumeration Date | 08/05/2022
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 3330 N GALLOWAY AVE STE 304-79
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City | MESQUITE
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State | TX
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Zip | 75150-4728
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Country | US
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Telephone | 214-676-9679
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 N GALLOWAY AVE STE 304-79
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City | MESQUITE
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State | TX
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Zip | 75150-4728
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Country | US
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Telephone | 214-676-9679
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Fax |
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Authorized Official
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Title or Position | LICENSED HEARING SPECIALIST
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Name | MEAGAN SCOTT
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Credential | MHA
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Telephone | 214-676-9679
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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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