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General NPI Number Information
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NPI Number | 1982008652
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Entity Type | Organization
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Legal Business Name | DIZZINESS AND BALANCE DIAGNSOTICS CENTERS OF AMERICA, LP
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 462 S MASON RD STE 400B
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City | KATY
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State | TX
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Zip | 77450-2451
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Country | US
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Telephone | 281-665-3980
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Fax | 281-693-3111
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Provider Business Mailing Address
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Address Line | 462 S MASON RD STE 400B
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City | KATY
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State | TX
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Zip | 77450-2451
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Country | US
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Telephone | 281-665-3980
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | SONIA ALANIS
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Credential |
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Telephone | 281-665-3980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 80053
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA01236
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License Number State | TX
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