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General NPI Number Information
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NPI Number | 1528953312
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Entity Type | Organization
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Legal Business Name | EAR BRAIN INTEGRATION
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 23410 GRAND RESERVE DR STE 1103
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City | KATY
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State | TX
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Zip | 77494-4984
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Country | US
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Telephone | 407-421-3439
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Fax |
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Provider Business Mailing Address
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Address Line | 3822 SPARKMAN LN
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City | KATY
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State | TX
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Zip | 77494-3151
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Country | US
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Telephone | 407-421-3439
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Fax |
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Authorized Official
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Title or Position | MANAGER DIRECTOR
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Name | MARCELO ASSIS MESSIAS
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Credential | MD
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Telephone | 407-690-6792
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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 |
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License Number State |
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