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General NPI Number Information
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NPI Number | 1386992808
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Entity Type | Organization
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Legal Business Name | LONE STAR HEARING SERVICES
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Dates
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Enumeration Date | 08/15/2012
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 2410 CROCKETT DR SUITE A
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City | BROWNWOOD
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State | TX
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Zip | 76801-5980
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Country | US
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Telephone | 325-641-1825
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Fax | 325-641-0716
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Provider Business Mailing Address
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Address Line | 2410 CROCKETT DR SUITE A
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City | BROWNWOOD
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State | TX
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Zip | 76801-5980
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Country | US
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Telephone | 325-641-1825
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Fax | 325-641-0716
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL DUGAN
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Credential |
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Telephone | 325-641-1825
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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 | 50122
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State | TX
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