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General NPI Number Information
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NPI Number | 1487022232
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Entity Type | Organization
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Legal Business Name | FAMILY HEARING PRACTICE, PLLC
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 02/07/2020
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Provider Practice Location Address
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Address Line | 4491 LONG PRAIRIE RD STE 400
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1795
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Country | US
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Telephone | 817-997-4084
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Fax | 817-333-1190
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Provider Business Mailing Address
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Address Line | 4491 LONG PRAIRIE RD STE 400
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City | FLOWER MOUND
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State | TX
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Zip | 75028-1795
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Country | US
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Telephone | 817-997-4084
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Fax | 817-333-1190
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MRS. ALLISON MARIE LIBERIO
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Credential |
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Telephone | 817-997-4084
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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 | 80297
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License Number State | TX
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