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General NPI Number Information
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NPI Number | 1689817900
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Entity Type | Organization
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Legal Business Name | THE HEARING PLACE OF TEXAS, LLC
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Dates
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Enumeration Date | 04/16/2009
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Last Update Date | 04/16/2009
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Provider Practice Location Address
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Address Line | 109 CENTRAL EXPY N SUITE 533
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City | ALLEN
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State | TX
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Zip | 75013-2645
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Country | US
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Telephone | 972-359-7800
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Fax | 972-359-7963
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Provider Business Mailing Address
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Address Line | 109 CENTRAL EXPY N SUITE 533
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City | ALLEN
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State | TX
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Zip | 75013-2645
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Country | US
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Telephone | 972-359-7800
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Fax | 972-359-7963
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Authorized Official
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Title or Position | AUDIOLOGIST/MANAGING MEMBER
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Name | DR. JAMES CLAY MAINORD
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Credential | AUD
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Telephone | 972-359-7800
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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 | 51111
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License Number State | TX
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