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General NPI Number Information
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NPI Number | 1073229944
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Entity Type | Organization
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Legal Business Name | STUDY LEAGUE LLC
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Dates
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Enumeration Date | 01/25/2023
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 5501 NEW UTRECHT AVE
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City | BROOKLYN
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State | NY
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Zip | 11219-4630
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Country | US
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Telephone | 646-504-3863
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Fax |
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Provider Business Mailing Address
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Address Line | 143 DIVISION AVE
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City | BROOKLYN
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State | NY
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Zip | 11211-7118
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SHIA MANDEL
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Credential |
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Telephone | 646-504-3863
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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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