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General NPI Number Information
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NPI Number | 1245710102
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Entity Type | Organization
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Legal Business Name | BIG THICKET HEARING AIDS AND AUDIOLOGY, PLLC
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 691 S MAIN ST
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City | LUMBERTON
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State | TX
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Zip | 77657-7378
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Country | US
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Telephone | 409-227-0284
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Fax |
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Provider Business Mailing Address
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Address Line | 691 S MAIN ST
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City | LUMBERTON
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State | TX
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Zip | 77657-7378
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Country | US
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Telephone | 409-227-0284
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JONI RUIZ
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Credential |
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Telephone | 409-227-0284
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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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