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General NPI Number Information
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NPI Number | 1598255507
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Entity Type | Organization
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Legal Business Name | WEST TEXAS AUDIOLOGY AND HEARING AID CENTER
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 11/05/2021
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Provider Practice Location Address
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Address Line | 5607 114TH ST SUITE 100
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-798-3600
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Fax | 806-798-3601
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Provider Business Mailing Address
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Address Line | 5607 114TH ST SUITE 100
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-798-3600
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ARICA G BLACK
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Credential | AUD
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Telephone | 806-798-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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