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General NPI Number Information
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NPI Number | 1891271748
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Entity Type | Organization
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Legal Business Name | DORNBACK HEARING PLLC
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 2116 SONATA LN
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City | CARROLLTON
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State | TX
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Zip | 75007
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Country | US
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Telephone | 469-877-8727
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 SONATA LN
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City | CARROLLTON
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State | TX
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Zip | 75007-2239
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Country | US
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Telephone | 469-877-8727
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. SHIRLEY DORNBACK
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Credential | AUD
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Telephone | 469-877-8727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 51097
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License Number State | TX
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