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General NPI Number Information
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NPI Number | 1619101300
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Entity Type | Organization
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Legal Business Name | ACHIEVE HEARING & REHABILITATION, INC
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Dates
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Enumeration Date | 05/08/2009
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Last Update Date | 05/08/2009
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Provider Practice Location Address
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Address Line | 5928 W PARKER RD
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City | PLANO
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State | TX
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Zip | 75093-6433
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Country | US
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Telephone | 972-608-0416
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Fax | 972-608-0430
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Provider Business Mailing Address
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Address Line | 5928 W PARKER RD
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City | PLANO
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State | TX
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Zip | 75093-6433
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Country | US
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Telephone | 972-608-0416
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Fax | 972-608-0430
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL GEHAN
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Credential | MS
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Telephone | 972-608-0416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number |
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License Number State |
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