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General NPI Number Information
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NPI Number | 1962524900
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Entity Type | Organization
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Legal Business Name | FNJ HEARINGDBAECONOMY HEARING AID CENTER AND NATIONAL HEARING CENTERS
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 130 W MAIN ST STE D
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City | KERRVILLE
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State | TX
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Zip | 78028-5263
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Country | US
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Telephone | 830-896-9600
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Fax | 830-896-9602
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Provider Business Mailing Address
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Address Line | 197 MEADOWLAND
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-3700
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Country | US
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Telephone | 210-279-7662
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROGER TAZE STOOPS
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Credential | BC HIS
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Telephone | 830-896-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 50638
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License Number State | TX
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