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General NPI Number Information
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NPI Number | 1417223348
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Entity Type | Organization
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Legal Business Name | FLEXHEAR LLC
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Dates
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Enumeration Date | 03/26/2012
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 4516 CAPRI CT NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-3474
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Country | US
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Telephone | 505-792-3539
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Fax | 505-200-3744
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Provider Business Mailing Address
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Address Line | 4516 CAPRI CT NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87114-3474
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Country | US
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Telephone | 505-792-3539
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Fax | 505-200-3744
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Authorized Official
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Title or Position | ADMINISTRATIVE MANAGER
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Name | MRS. SALLY M LUJAN
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Credential |
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Telephone | 505-792-3539
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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 | 0746
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License Number State | NM
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