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General NPI Number Information
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NPI Number | 1699896506
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Entity Type | Organization
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Legal Business Name | MCCRAE MANAGEMENT & INVESTMENTS, LTD.
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 360 NW EASTMAN PARKWAY
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City | GRESHAM
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State | OR
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Zip | 97030-7203
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Country | US
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Telephone | 503-667-3832
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Fax | 503-667-3103
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Provider Business Mailing Address
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Address Line | 26222 RANCH ROAD 12
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-4903
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Country | US
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Telephone | 512-858-0300
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Fax | 512-858-2714
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Authorized Official
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Title or Position | CREDENTIALING/CONTRACTING SPECIALIS
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Name | MS. ELISE DOMINEY
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Credential |
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Telephone | 512-858-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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