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General NPI Number Information
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NPI Number | 1114548815
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Entity Type | Organization
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Legal Business Name | HEARGUARD MOBILE HEARING CARE, LLC
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Dates
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Enumeration Date | 05/04/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 31112 SIERRA VISTA DR
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City | BULVERDE
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State | TX
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Zip | 78163-4590
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Country | US
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Telephone | 210-439-9144
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Fax |
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Provider Business Mailing Address
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Address Line | 31112 SIERRA VISTA DR
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City | BULVERDE
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State | TX
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Zip | 78163-4590
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Country | US
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Telephone | 210-439-9144
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GAIL GRANT
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Credential | AU.D., CCC-A
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Telephone | 210-439-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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