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General NPI Number Information
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NPI Number | 1255421178
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Entity Type | Organization
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Legal Business Name | CREEL HEARING CENTER, L.L.C.
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 3330 LAKE VILLA DR SUITE 100
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City | METAIRIE
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State | LA
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Zip | 70002-4357
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Country | US
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Telephone | 504-889-5339
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Fax |
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Provider Business Mailing Address
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Address Line | 3330 LAKE VILLA DR SUITE 100
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City | METAIRIE
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State | LA
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Zip | 70002-4357
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Country | US
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Telephone | 504-889-5339
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/DIRECTOR
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Name | LAURIE SCHMIDT HEBERT
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Credential | AU.D.
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Telephone | 504-889-5339
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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 | 1508
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License Number State | LA
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