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General NPI Number Information
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NPI Number | 1932997939
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Entity Type | Individual
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Provider Name | VANESSA STUART
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 201 GOLDEN TRIANGLE BLVD
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City | KELLER
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State | TX
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Zip | 76248-4484
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Country | US
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Telephone | 817-898-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 MIMS ST
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City | FORT WORTH
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State | TX
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Zip | 76112-4251
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Country | US
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Telephone | 817-968-6539
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 81085
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License Number State | TX
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