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General NPI Number Information
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NPI Number | 1811399884
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Entity Type | Organization
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Legal Business Name | MIRACLE EAR CENTER
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 8215 UNIVERSITY AVE STE 100
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City | LUBBOCK
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State | TX
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Zip | 79423
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Country | US
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Telephone | 806-698-1083
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 CENTRAL PARK DR STE 100
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City | WACO
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State | TX
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Zip | 76712-6666
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Country | US
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Telephone | 254-227-5189
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Fax |
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Authorized Official
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Title or Position | STAFF ACCOUNTANT
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Name | KRISTIN BEHELER
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Credential |
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Telephone | 254-227-5189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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