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General NPI Number Information
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NPI Number | 1306905732
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Entity Type | Individual
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Provider Name | TY J. MANUEL HHS
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 4030 DOWLEN RD STE 6
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City | BEAUMONT
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State | TX
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Zip | 77706-6878
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Country | US
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Telephone | 409-892-9091
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Fax | 409-892-9090
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Provider Business Mailing Address
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Address Line | PO BOX 1526
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City | ORANGE
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State | TX
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Zip | 77631-1526
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Country | US
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Telephone | 409-892-9091
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Fax | 409-892-9090
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 50322
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License Number State | TX
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