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General NPI Number Information
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NPI Number | 1134115256
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Entity Type | Organization
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Legal Business Name | JACK JONES HEARING CENTERS, INC.
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 400 S HENDERSON ST
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City | FORT WORTH
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State | TX
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Zip | 76104-1017
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Country | US
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Telephone | 817-335-2583
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Fax | 817-335-2597
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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 | 630-303-5385
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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 | 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 #2
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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 #3
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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 #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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