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General NPI Number Information
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NPI Number | 1073026050
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Entity Type | Individual
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Provider Name | SUSAN STEIN
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Gender | Female
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 300 ANDOVER ST
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City | PEABODY
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State | MA
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Zip | 01960-1526
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Country | US
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Telephone | 978-226-1966
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Fax | 978-587-0325
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Provider Business Mailing Address
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Address Line | 300 ANDOVER ST
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City | PEABODY
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State | MA
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Zip | 01960-1526
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Country | US
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Telephone | 978-226-1966
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Fax | 978-587-0325
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 454
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License Number State | MA
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