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General NPI Number Information
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NPI Number | 1043261944
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Entity Type | Individual
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Provider Name | LEWIS BRESLAU AUD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 176 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3800
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Country | US
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Telephone | 516-678-1804
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Fax | 516-678-0445
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Provider Business Mailing Address
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Address Line | 176 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3800
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Country | US
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Telephone | 516-221-2390
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Fax | 516-221-2395
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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 | 0009661
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 0009661
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 14000002408
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License Number State | NY
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