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General NPI Number Information
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NPI Number | 1013200260
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Entity Type | Organization
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Legal Business Name | MANHATTAN AVENUE HEARING AIDS, INC
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 934 MANHATTAN AVE
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City | BROOKLYN
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State | NY
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Zip | 11222-5928
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Country | US
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Telephone | 917-856-2703
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BRAMSHOTT CT
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1860
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Country | US
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Telephone | 917-856-2703
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLARE M VILLANUEVA
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Credential | AUD
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Telephone | 917-856-2703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 1764-1
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License Number State | NY
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