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General NPI Number Information
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NPI Number | 1629239264
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Entity Type | Organization
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Legal Business Name | DENT AUDIOLOGY & HEARING AIDS, LLC
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 9301 N CENTRAL EXPY SUITE 560
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City | DALLAS
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State | TX
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Zip | 75231-0806
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Country | US
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Telephone | 214-821-1809
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Fax | 214-827-9037
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Provider Business Mailing Address
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Address Line | 9301 N CENTRAL EXPY SUITE 560
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City | DALLAS
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State | TX
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Zip | 75231-0806
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Country | US
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Telephone | 214-821-1809
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Fax | 214-827-9037
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARK A HARDIN
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Credential | M.D.
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Telephone | 214-821-1809
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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 | 50332
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License Number State | TX
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