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General NPI Number Information
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NPI Number | 1225398837
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Entity Type | Individual
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Provider Name | RAYMOND ROY PRUNEDA FITTER & DISPENSER
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Gender | Male
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Dates
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Enumeration Date | 05/17/2012
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 922 S CLOSNER BLVD STE A
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City | EDINBURG
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State | TX
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Zip | 78539-5642
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Country | US
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Telephone | 956-533-0594
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Fax | 956-386-9097
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Provider Business Mailing Address
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Address Line | 922 S CLOSNER BLVD STE A
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City | EDINBURG
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State | TX
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Zip | 78539-5642
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Country | US
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Telephone | 956-533-0594
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Fax | 956-386-9097
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 80429
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License Number State | TX
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