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General NPI Number Information
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NPI Number | 1265932040
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Entity Type | Organization
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Legal Business Name | SOUTHWEST HEARING AID SOLUTIONS,INC
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Dates
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Enumeration Date | 02/18/2018
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 1188 N YARBROUGH DR STE U
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City | EL PASO
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State | TX
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Zip | 79925-7926
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Country | US
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Telephone | 915-504-1715
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Fax | 915-303-7144
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Provider Business Mailing Address
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Address Line | 1188 N YARBROUGH DR STE U
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City | EL PASO
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State | TX
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Zip | 79925-7926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANDRA FOLLY
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Credential | ACA, BC-HIS
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Telephone | 915-504-1715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 50559
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License Number State | TX
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