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General NPI Number Information
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NPI Number | 1285390336
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Entity Type | Organization
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Legal Business Name | GRAND HEARING CENTER
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Dates
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Enumeration Date | 11/12/2021
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 812 W 8TH 11-B
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City | PLAINVIEW
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State | TX
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Zip | 79072
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Country | US
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Telephone | 806-288-8585
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Fax | 806-288-1595
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | PLAINVIEW
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State | TX
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Zip | 79073-0007
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Country | US
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Telephone | 806-288-8585
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Fax | 806-288-1595
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Authorized Official
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Title or Position | OWNER
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Name | JANIS GAYLE WILLSON
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Credential | BC-HIS
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Telephone | 806-288-8585
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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 |
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License Number State |
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