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NPI 1154596658

NPI 1154596658 : AUDIOLOGY AND HEARING SERVICES OF KERRVILLE PLLC : KERRVILLE, TX

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General NPI Number Information
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    NPI Number           |    1154596658
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    Entity Type          |    Organization 
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    Legal Business Name  |    AUDIOLOGY AND HEARING SERVICES OF KERRVILLE PLLC 
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Dates
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    Enumeration Date     |    04/25/2008
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    Last Update Date     |    08/14/2015
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Provider Practice Location Address
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    Address Line         |    703 HILL COUNTRY DR SUITE 102
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    City                 |    KERRVILLE
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    State                |    TX
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    Zip                  |    78028-6159
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    Country              |    US
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    Telephone            |    830-792-4060
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    Fax                  |    830-792-5288
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Provider Business Mailing Address
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    Address Line         |    703 HILL COUNTRY DR SUITE 102
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    City                 |    KERRVILLE
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    State                |    TX
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    Zip                  |    78028-6159
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    Country              |    US
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    Telephone            |    830-792-4060
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    Fax                  |    830-792-5288
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JEFFREY G SIRIANNI 
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    Credential           |    AU.D.
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    Telephone            |    830-792-4060
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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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