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General NPI Number Information
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NPI Number | 1386789519
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Entity Type | Organization
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Legal Business Name | LUCENAY HEARING AID SERVICE INC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2225 WASHINGTON
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City | WACO
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State | TX
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Zip | 76701-1018
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Country | US
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Telephone | 254-752-3315
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Fax | 254-752-1819
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Provider Business Mailing Address
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Address Line | 2225 WASHINGTON
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City | WACO
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State | TX
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Zip | 76701-1018
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Country | US
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Telephone | 254-752-3315
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Fax | 254-752-1819
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. TOM C LUCENAY
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Credential | FITTER AND DISPENSER
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Telephone | 254-752-3315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 50096
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License Number State | TX
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