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General NPI Number Information
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NPI Number | 1750568564
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Entity Type | Organization
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Legal Business Name | ESTES AUDIOLOGY-SUN CITY, PLLC
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 1530 SUN CITY BLVD SUITE 140
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City | GEORGETOWN
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State | TX
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Zip | 78628
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Country | US
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Telephone | 830-643-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 1528 COMMON ST SUITE 5
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-3337
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Country | US
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Telephone | 830-643-0033
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SORIYA M ESTES
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Credential | MA
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Telephone | 830-643-0033
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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 | 50679
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License Number State | TX
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