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NPI 1861730152

NPI 1861730152 : WHITE HEARING CARE : CONROE, TX

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General NPI Number Information
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    NPI Number           |    1861730152
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHITE HEARING CARE 
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Dates
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    Enumeration Date     |    01/22/2013
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    Last Update Date     |    01/22/2013
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Provider Practice Location Address
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    Address Line         |    1902 N FRAZIER ST 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77301-1240
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    Country              |    US
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    Telephone            |    936-539-2626
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    Fax                  |    936-839-6211
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Provider Business Mailing Address
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    Address Line         |    1902 N FRAZIER ST 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77301-1240
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     DONALD  WHITE 
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    Credential           |    
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    Telephone            |    936-539-2626
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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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