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General NPI Number Information
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NPI Number | 1962660027
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Entity Type | Individual
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Provider Name | MR. CHRISTOPHER B NOONAN
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Gender | Male
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 595 ROUND ROCK WEST DR SUITE 102
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City | ROUND ROCK
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State | TX
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Zip | 78681-5011
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Country | US
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Telephone | 512-348-2149
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Fax |
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Provider Business Mailing Address
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Address Line | 22 MCGUGAN LN
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City | TEMPLE
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State | TX
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Zip | 76502-3524
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Country | US
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Telephone | 512-348-2149
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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 | 80279
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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