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NPI 1154451797

NPI 1154451797 : KOS DANCHAK AUDIOLOGY AND HEARING AIDS LLC : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1154451797
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    Entity Type          |    Organization 
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    Legal Business Name  |    KOS DANCHAK AUDIOLOGY AND HEARING AIDS LLC 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    11/21/2025
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Provider Practice Location Address
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    Address Line         |    101 W RANDOL MILL RD SUITE 100
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76011-4637
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    Country              |    US
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    Telephone            |    817-277-7039
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    Fax                  |    817-801-3231
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Provider Business Mailing Address
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    Address Line         |    101 W RANDOL MILL RD SUITE 100
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76011-4637
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    Country              |    US
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    Telephone            |    817-277-7039
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    Fax                  |    817-801-3231
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MELISSA  DANCHAK 
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    Credential           |    AU.D.
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    Telephone            |    817-277-7039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    51223
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    License Number State |    TX
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