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General NPI Number Information
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NPI Number | 1386928612
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Entity Type | Organization
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Legal Business Name | EAR CARE PLLC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 5700 ALISTER LN
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City | THE COLONY
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State | TX
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Zip | 75056-3716
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Country | US
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Telephone | 214-868-7708
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Fax | 561-431-4612
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Provider Business Mailing Address
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Address Line | 5700 ALISTER LN
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City | THE COLONY
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State | TX
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Zip | 75056-3716
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Country | US
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Telephone | 214-868-7708
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Fax | 561-431-4612
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | NICOLE WEINTRAUB
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Credential | AU.D.
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Telephone | 214-868-7708
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 80198
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License Number State | TX
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