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General NPI Number Information
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NPI Number | 1245890748
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Entity Type | Organization
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Legal Business Name | TEXAS HEARING ASSOCIATES LLC
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Dates
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Enumeration Date | 06/17/2019
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Last Update Date | 06/17/2019
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Provider Practice Location Address
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Address Line | 2376 BULVERDE RD STE 108
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City | BULVERDE
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State | TX
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Zip | 78163-4593
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Country | US
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Telephone | 830-358-3675
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Fax | 830-714-5084
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Provider Business Mailing Address
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Address Line | 2643 RIM OAK
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City | SAN ANTONIO
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State | TX
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Zip | 78232-2657
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Country | US
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Telephone | 210-845-8181
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAYMOND DOUGLAS PRILL
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Credential | M.A., HIS
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Telephone | 210-845-8181
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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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