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General NPI Number Information
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NPI Number | 1134390438
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Entity Type | Organization
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Legal Business Name | HEARING AID LABS LLC
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Dates
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Enumeration Date | 03/14/2008
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Last Update Date | 03/14/2008
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Provider Practice Location Address
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Address Line | 1931 NW MILITARY HWY SUITE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2153
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Country | US
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Telephone | 210-342-3924
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Fax | 210-342-6176
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Provider Business Mailing Address
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Address Line | 1931 NW MILITARY HWY SUITE 100
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City | SAN ANTONIO
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State | TX
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Zip | 78213-2153
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Country | US
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Telephone | 210-342-3924
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Fax | 210-342-6176
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RALPH RENE CANALES JR.
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Credential |
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Telephone | 210-342-3924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 50204
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License Number State | TX
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