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General NPI Number Information
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NPI Number | 1447338223
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Entity Type | Organization
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Legal Business Name | ESTES AUDIOLOGY
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1528 COMMON STREET SUITE 5
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 830-643-0033
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Fax | 830-643-0350
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Provider Business Mailing Address
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Address Line | 1528 COMMON STREET SUITE 5
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130
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Country | US
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Telephone | 830-643-0033
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Fax | 830-643-0350
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | SORIYA M ESTES
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Credential | MA
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Telephone | 830-643-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 51386
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License Number State | TX
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