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General NPI Number Information
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NPI Number | 1619427754
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Entity Type | Organization
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Legal Business Name | ATLAS AUDIOLOGY PLLC
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 01/28/2017
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Provider Practice Location Address
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Address Line | 4702 67TH ST STE A
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City | LUBBOCK
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State | TX
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Zip | 79414-5004
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Country | US
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Telephone | 806-224-1755
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Fax | 806-224-1674
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Provider Business Mailing Address
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Address Line | 4702 67TH ST STE A
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City | LUBBOCK
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State | TX
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Zip | 79414-5004
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Country | US
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Telephone | 806-224-1755
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Fax | 806-224-1674
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Authorized Official
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Title or Position | OWNER/AUDIOLOGIST
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Name | DR. GINA FLORES
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Credential | AU.D.
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Telephone | 806-224-1755
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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 |
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License Number State |
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