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General NPI Number Information
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NPI Number | 1912714445
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Entity Type | Organization
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Legal Business Name | L1L2 VENTURES LLC
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 2601 LITTLE ELM PKWY STE 2203
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City | LITTLE ELM
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State | TX
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Zip | 75068-2504
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Country | US
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Telephone | 469-942-8599
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Fax |
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Provider Business Mailing Address
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Address Line | 2601 LITTLE ELM PKWY STE 2203
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City | LITTLE ELM
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State | TX
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Zip | 75068-2504
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Country | US
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Telephone | 469-942-8599
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/PRACTICE MANAGER
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Name | JENNIFER BERRY
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Credential |
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Telephone | 469-942-8599
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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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