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General NPI Number Information
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NPI Number | 1114142817
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Entity Type | Individual
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Provider Name | ROXANNE VAN BROWN HIS
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Gender | Female
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 13785 RESEARCH BLVD STE 125
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City | AUSTIN
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State | TX
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Zip | 78750-1873
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Country | US
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Telephone | 512-577-5027
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Fax | 512-991-9709
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Provider Business Mailing Address
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Address Line | 13785 RESEARCH BLVD STE 125
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City | AUSTIN
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State | TX
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Zip | 78750-1873
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Country | US
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Telephone | 512-577-5027
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Fax | 512-991-9709
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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 | 20243
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License Number State | TX
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