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General NPI Number Information
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NPI Number | 1962687723
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Entity Type | Organization
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Legal Business Name | WTHAC, INC
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 10/10/2008
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Provider Practice Location Address
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Address Line | 2508 N GRANDVIEW AVE
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City | ODESSA
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State | TX
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Zip | 79761-1606
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Country | US
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Telephone | 432-368-7777
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Fax | 432-363-4327
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Provider Business Mailing Address
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Address Line | 1387 BAT MASTERSON DR
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City | EL PASO
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State | TX
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Zip | 79936-7850
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Country | US
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Telephone | 915-860-1593
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Fax | 915-860-1593
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURA F CARPENTER
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Credential |
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Telephone | 915-860-1593
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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