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General NPI Number Information
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NPI Number | 1043582638
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Entity Type | Individual
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Provider Name | SCOTT RAWICZ M.A.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | B-3 CORNWALL DRIVE
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816
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Country | US
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Telephone | 732-238-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 WINDER DR
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-3585
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Country | US
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Telephone | 908-229-5256
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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 | 41YA00037500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 25MG00106900
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License Number State | NJ
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