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General NPI Number Information
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NPI Number | 1104795939
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Entity Type | Organization
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Legal Business Name | HEAR NEW MEXICO LLC
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1247 CENTRAL AVE RM 220
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City | LOS ALAMOS
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State | NM
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Zip | 87544-3256
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Country | US
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Telephone | 505-390-6995
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Fax |
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Provider Business Mailing Address
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Address Line | 1209 MOUNTAIN ROAD PL NE STE N
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City | ALBUQUERQUE
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State | NM
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Zip | 87110-7845
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Country | US
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Telephone | 505-390-6995
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Fax |
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | DR. ALLISON COLTISOR
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Credential | AUD
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Telephone | 505-390-6995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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