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General NPI Number Information
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NPI Number | 1295523900
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Entity Type | Organization
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Legal Business Name | MENM, LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 1721 N DYSART RD STE 102
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City | AVONDALE
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State | AZ
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Zip | 85392-1223
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Country | US
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Telephone | 623-663-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 CENTRAL PARK DR STE 100
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City | WACO
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State | TX
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Zip | 76712-6666
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Country | US
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Telephone | 254-227-6825
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Fax | 254-300-4990
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Authorized Official
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Title or Position | ACCOUNTING SUPERVISOR
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Name | DANA STEM
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Credential |
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Telephone | 254-307-3512
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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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