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General NPI Number Information
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NPI Number | 1447052204
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Entity Type | Organization
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Legal Business Name | HOMETOWN MYO, PLLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 305 N HEATHERWILDE BLVD STE 320
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4195
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Country | US
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Telephone | 512-815-2549
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Fax | 737-358-4114
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Provider Business Mailing Address
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Address Line | 202 WILLOW ST
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-4017
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Country | US
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Telephone | 972-523-9335
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN SELMAN
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Credential | MA, CCC-SLP
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Telephone | 512-815-2549
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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 |
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License Number State |
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