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General NPI Number Information
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NPI Number | 1952121287
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Entity Type | Individual
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Provider Name | ELOY JUAREZ HIS
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Gender | Male
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 8838 VISCOUNT BLVD STE Q
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City | EL PASO
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State | TX
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Zip | 79925-5822
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Country | US
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Telephone | 806-702-8208
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Fax | 806-782-4327
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Provider Business Mailing Address
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Address Line | 5303 50TH ST
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City | LUBBOCK
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State | TX
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Zip | 79414-1817
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Country | US
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Telephone | 806-702-8208
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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 | 80924
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License Number State | TX
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