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General NPI Number Information
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NPI Number | 1538872833
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Entity Type | Organization
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Legal Business Name | HBCA TEXAS, LLC
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Dates
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Enumeration Date | 01/02/2023
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Last Update Date | 01/02/2023
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Provider Practice Location Address
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Address Line | 150 WILLOW CREEK DR STE 105
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City | WEATHERFORD
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State | TX
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Zip | 76085-3652
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Country | US
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Telephone | 817-550-6115
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Fax | 866-358-6404
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Provider Business Mailing Address
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Address Line | 150 WILLOW CREEK DR STE 105
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City | WEATHERFORD
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State | TX
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Zip | 76085-3652
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Country | US
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Telephone | 817-550-6115
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Fax | 866-358-6404
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. BELIA GULLICKSON
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Credential |
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Telephone | 817-253-0937
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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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