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General NPI Number Information
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NPI Number | 1508813536
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Entity Type | Organization
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Legal Business Name | PEB ENTERPRISES INC
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 05/24/2011
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Provider Practice Location Address
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Address Line | 1017 EAST TRINITY MILLS RD #120
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City | CARROLLTON
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State | TX
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Zip | 75006-1458
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Country | US
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Telephone | 972-466-0528
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Fax | 972-466-2345
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Provider Business Mailing Address
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Address Line | 1017 E TRINITY MILLS RD #120
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City | CARROLLTON
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State | TX
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Zip | 75006-1438
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Country | US
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Telephone | 972-466-0528
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Fax | 972-466-2345
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. PETER R BERRY
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Credential |
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Telephone | 940-321-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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