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General NPI Number Information
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NPI Number | 1568621605
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Entity Type | Individual
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Provider Name | STEVEN BEAU GATLIN A.U.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 19026 STONE OAK PARKWAY SUITE 110
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City | SAN ANTONIO
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State | TX
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Zip | 78258
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Country | US
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Telephone | 210-545-0404
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Fax | 210-614-1003
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Provider Business Mailing Address
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Address Line | PO BOX 2679
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City | SAN ANTONIO
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State | TX
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Zip | 78299
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Country | US
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Telephone | 210-616-0121
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Fax | 210-614-1003
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 80145
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License Number State | TX
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