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General NPI Number Information
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NPI Number | 1972769925
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Entity Type | Organization
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Legal Business Name | BARRY KIENHOLZ HEARING AID CENTERS
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 19221 I H 45 S STE 140
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City | SHENANDOAH
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State | TX
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Zip | 77385-8731
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Country | US
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Telephone | 281-363-2847
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Fax | 281-298-2782
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Provider Business Mailing Address
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Address Line | PO BOX 8036
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City | THE WOODLANDS
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State | TX
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Zip | 77387-8036
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Country | US
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Telephone | 281-363-2847
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Fax | 281-298-2782
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Authorized Official
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Title or Position | OWNER
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Name | MR. BARRY QUENTIN KIENHOLZ
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Credential | M.A.
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Telephone | 281-363-2847
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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 | 50414
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License Number State | TX
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