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General NPI Number Information
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NPI Number | 1023047271
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Entity Type | Individual
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Provider Name | SOLOMON TAITELBAUM CCC-A
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Gender | Male
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 227 MADISON ST
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City | NEW YORK
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State | NY
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Zip | 10002-7537
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Country | US
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Telephone | 212-238-7806
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Fax |
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Provider Business Mailing Address
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Address Line | 1542 E 14TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-7104
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Country | US
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Telephone | 718-382-8090
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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 | 001879
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License Number State | NY
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