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General NPI Number Information
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NPI Number | 1245798081
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Entity Type | Organization
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Legal Business Name | SOUND DIVERSITY LLC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 09/06/2025
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Provider Practice Location Address
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Address Line | 3411 MARKET LOOP STE 104
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City | TEMPLE
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State | TX
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Zip | 76502-2771
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Country | US
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Telephone | 254-228-5189
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Fax | 254-298-9707
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Provider Business Mailing Address
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Address Line | 3411 MARKET LOOP STE 104
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City | TEMPLE
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State | TX
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Zip | 76502-2771
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Country | US
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Telephone | 254-228-5189
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Fax | 254-298-9707
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Authorized Official
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Title or Position | OWNER
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Name | CALMONY JOHNSON
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Credential | H.I.S.
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Telephone | 254-228-5189
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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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