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General NPI Number Information
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NPI Number | 1003100108
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Entity Type | Organization
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Legal Business Name | PREFERRED HEARING CARE PLLC
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Dates
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Enumeration Date | 06/06/2011
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Last Update Date | 06/06/2011
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Provider Practice Location Address
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Address Line | 1919 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-3396
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Country | US
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Telephone | 631-940-8262
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Fax | 631-940-8263
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Provider Business Mailing Address
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Address Line | 1919 DEER PARK AVE
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City | DEER PARK
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State | NY
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Zip | 11729-3396
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Country | US
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Telephone | 631-940-8262
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Fax | 631-940-8263
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. SHEREETA MELISSA WILLIAMS
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Credential | AU.D,
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Telephone | 631-940-8262
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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 | 15000019991
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License Number State | NY
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