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General NPI Number Information
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NPI Number | 1053291120
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Entity Type | Organization
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Legal Business Name | NEUROHEAR LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 188 E BERGEN PL STE 301 SUITE 301
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City | RED BANK
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State | NJ
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Zip | 07701-2162
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Country | US
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Telephone | 732-842-1971
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Fax |
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Provider Business Mailing Address
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Address Line | 188 E BERGEN PL STE 301
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City | RED BANK
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State | NJ
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Zip | 07701-2162
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Country | US
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Telephone | 732-842-1971
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Fax |
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Authorized Official
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Title or Position | MEMBER/AUDIOLOGIST
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Name | DR. INA SELITA
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Credential | AU.D
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Telephone | 917-208-3476
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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 |
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License Number State |
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