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NPI 1629930359

NPI 1629930359 : PROJECT MONITOR, INC. : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1629930359
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    Entity Type          |    Organization 
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    Legal Business Name  |    PROJECT MONITOR, INC. 
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Dates
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    Enumeration Date     |    12/01/2025
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    Last Update Date     |    12/01/2025
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Provider Practice Location Address
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    Address Line         |    19240 REDLAND RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78259-3340
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    Country              |    US
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    Telephone            |    972-885-0188
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4516 LOVERS LN # 392 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75225-6925
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     KEVIN  LAVELLE 
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    Credential           |    
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    Telephone            |    972-885-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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