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General NPI Number Information
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NPI Number | 1942460894
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL HEARING SERVICES PLLC
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 2011 MALL DR STE 4
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City | TEXARKANA
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State | TX
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Zip | 75503-2550
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Country | US
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Telephone | 903-792-3986
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Fax | 903-792-3935
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Provider Business Mailing Address
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Address Line | 2011 MALL DR STE 4
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City | TEXARKANA
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State | TX
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Zip | 75503-2550
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Country | US
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Telephone | 903-748-6864
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Fax | 903-792-3985
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JODY LYNN SEALS
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Credential | M.S.
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Telephone | 903-748-6864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 50509
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License Number State | TX
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