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General NPI Number Information
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NPI Number | 1033162185
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Entity Type | Organization
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Legal Business Name | KEYSTONE HEARING AND AUDIOLOGY INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 154 ABBE PLACE
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City | DELMONT
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State | PA
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Zip | 15626
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Country | US
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Telephone | 724-468-5959
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Fax | 724-468-5959
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Provider Business Mailing Address
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Address Line | 154 ABBE PLACE
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City | DELMONT
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State | PA
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Zip | 15626
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Country | US
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Telephone | 724-468-5959
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Fax | 724-468-5959
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MRS. CAROLINE R DAURORA
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Credential | MA CCCA
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Telephone | 724-468-5959
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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 | AT000525
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License Number State | PA
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