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General NPI Number Information
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NPI Number | 1356596472
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Entity Type | Organization
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Legal Business Name | HERITAGE HEARING CENTERS OF TEXAS
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 11/18/2008
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Provider Practice Location Address
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Address Line | 1500 S 31ST ST
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City | TEMPLE
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State | TX
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Zip | 76504-6752
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Country | US
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Telephone | 254-773-3335
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Fax | 254-773-5333
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Provider Business Mailing Address
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Address Line | 1500 S 31ST ST
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City | TEMPLE
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State | TX
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Zip | 76504-6752
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Country | US
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Telephone | 254-773-3335
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Fax | 254-773-5333
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN M GUERRA JR.
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Credential | BC-HIS
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Telephone | 254-773-3335
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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 | 50041
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License Number State | TX
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