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General NPI Number Information
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NPI Number | 1134537509
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Entity Type | Organization
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Legal Business Name | ADVANCED HEARING CENTER
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Dates
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Enumeration Date | 07/29/2014
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 3605 NE LOOP 286 SUITE 100
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City | PARIS
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State | TX
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Zip | 75460-4980
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Country | US
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Telephone | 903-739-8898
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Fax | 903-739-8898
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Provider Business Mailing Address
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Address Line | 3605 NE LOOP 286 SUITE #100
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City | PARIS
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State | TX
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Zip | 75460-4980
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Country | US
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Telephone | 903-739-8898
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Fax | 903-739-8898
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN ARTHUR WOOSTER
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Credential | H.I.S
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Telephone | 903-739-8898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 50667
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License Number State | TX
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