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General NPI Number Information
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NPI Number | 1912116740
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Entity Type | Organization
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Legal Business Name | AUSTIN HEARING AID CENTER
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 4403 MANCHACA RD SUITE E
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City | AUSTIN
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State | TX
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Zip | 78745-1680
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Country | US
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Telephone | 512-444-8684
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Fax | 512-444-8697
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Provider Business Mailing Address
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Address Line | 4403 MANCHACA RD SUITE E
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City | AUSTIN
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State | TX
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Zip | 78745-1680
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Country | US
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Telephone | 512-444-8684
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Fax | 512-444-8697
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MR. WILLIAM ARTHUR RUDOLPH JR.
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Credential | MA, CCC-A
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Telephone | 512-444-8684
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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 | 50378
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License Number State | TX
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