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General NPI Number Information
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NPI Number | 1184706244
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Entity Type | Organization
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Legal Business Name | FIVE G'S ADVANCED HEARING, LTD.
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 3801 OLSEN BLVD UNIT 6
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City | AMARILLO
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State | TX
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Zip | 79109-3070
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Country | US
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Telephone | 806-355-9957
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Fax | 806-356-9963
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Provider Business Mailing Address
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Address Line | 3801 OLSEN BLVD UNIT 6
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City | AMARILLO
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State | TX
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Zip | 79109-3070
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Country | US
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Telephone | 806-355-9957
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Fax | 806-356-9963
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Authorized Official
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Title or Position | OWNER/HEARING INSTRUMENT SPECIALIST
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Name | DANIEL E. GLEASON
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Credential | H.I.S.
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Telephone | 806-355-9957
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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 |
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License Number State |
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