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General NPI Number Information
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NPI Number | 1487802120
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Entity Type | Organization
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Legal Business Name | HEARING SCHOOL OF THE SOUTHWEST
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Dates
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Enumeration Date | 09/07/2008
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Last Update Date | 09/07/2008
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Provider Practice Location Address
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Address Line | 3600 GASTON AVE
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City | DALLAS
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State | TX
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Zip | 75246-1800
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Country | US
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Telephone | 214-742-2124
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2123
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City | COPPELL
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State | TX
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Zip | 75019-8123
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Country | US
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Telephone | 469-532-2280
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF BOARD
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Name | DR. FRED OWENS
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Credential | M.D.
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Telephone | 214-742-2124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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