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General NPI Number Information
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NPI Number | 1003346222
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Entity Type | Individual
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Provider Name | ALIZA E FRANKEL-SEGAL AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 1 CLUB DR APT 1AR
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City | WOODMERE
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State | NY
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Zip | 11598-2011
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Country | US
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Telephone | 718-683-0268
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CLUB DR APT 1AR
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City | WOODMERE
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State | NY
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Zip | 11598-2011
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 002702-1
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License Number State | NY
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