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General NPI Number Information
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NPI Number | 1851154066
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Entity Type | Organization
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Legal Business Name | ADVANCED HEARING AND BALANCE OF SOUTH TEXAS PLLC
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Dates
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Enumeration Date | 01/31/2024
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 2403 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-3475
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Country | US
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Telephone | 737-888-0988
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Fax |
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Provider Business Mailing Address
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Address Line | 316 W SOUTHLAND AVE
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City | EDINBURG
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State | TX
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Zip | 78539-4979
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Country | US
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Telephone | 737-888-0988
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RAVICHANDRAN SOCKALINGAM
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Credential | PHD
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Telephone | 737-888-0988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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