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General NPI Number Information
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NPI Number | 1508959560
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Entity Type | Individual
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Provider Name | BEVERLY ELAINE RINEY THERING MS CFA
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/25/2008
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Provider Practice Location Address
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Address Line | 2905 N PRINCE ST STE A
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City | CLOVIS
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State | NM
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Zip | 88101-3843
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Country | US
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Telephone | 505-762-5355
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Fax | 505-762-1999
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Provider Business Mailing Address
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Address Line | 5303 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79414-5823
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Country | US
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Telephone | 806-799-8950
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Fax | 806-792-9404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 60519
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License Number State | TX
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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 | 60519
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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 | 4397
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License Number State | NM
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