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General NPI Number Information
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NPI Number | 1174848402
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Entity Type | Individual
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Provider Name | JAMES EDWIN CEARNAL JR. BC-HIS
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Gender | Male
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 1915 S AUSTIN AVE STE 101
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City | GEORGETOWN
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State | TX
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Zip | 78626-7805
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Country | US
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Telephone | 512-819-9613
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Fax | 512-863-0335
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Provider Business Mailing Address
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Address Line | 1915 S AUSTIN AVE STE 101
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City | GEORGETOWN
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State | TX
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Zip | 78626-7805
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Country | US
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Telephone | 512-819-9613
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Fax | 512-863-0335
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 50264
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License Number State | TX
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