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General NPI Number Information
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NPI Number | 1437600079
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Entity Type | Organization
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Legal Business Name | COLORFUL HEARING LLC
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Dates
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Enumeration Date | 10/19/2016
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Last Update Date | 10/19/2016
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Provider Practice Location Address
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Address Line | 2530 W UNIVERSITY DR SUITE 1130
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City | DENTON
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State | TX
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Zip | 76201-1615
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Country | US
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Telephone | 940-387-3330
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Fax | 940-387-3332
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Provider Business Mailing Address
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Address Line | 2530 W UNIVERSITY DR SUITE 1130
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City | DENTON
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State | TX
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Zip | 76201-1615
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Country | US
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Telephone | 940-387-3330
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Fax | 940-387-3332
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Authorized Official
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Title or Position | FINANCIAL DIRECTOR
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Name | MICHAEL MISCHE
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Credential | MBA
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Telephone | 940-387-3330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 80345
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License Number State | TX
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