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General NPI Number Information
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NPI Number | 1588133938
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Entity Type | Organization
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Legal Business Name | AT HOME HEARING , LLC
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Dates
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Enumeration Date | 11/15/2018
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 14439 NW MILITARY HWY STE 108-410
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City | SAN ANTONIO
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State | TX
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Zip | 78231
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Country | US
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Telephone | 210-202-0499
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Fax |
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Provider Business Mailing Address
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Address Line | 14439 NW MILITARY HWY STE 108-410
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City | SAN ANTONIO
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State | TX
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Zip | 78231
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Country | US
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Telephone | 210-202-0499
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAULA KLECK
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Credential |
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Telephone | 210-315-0569
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 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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