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General NPI Number Information
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NPI Number | 1083921241
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Entity Type | Organization
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Legal Business Name | ELEVEN KEY CORPORATION
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Dates
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Enumeration Date | 09/09/2010
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 258 6TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-2103
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Country | US
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Telephone | 718-768-3526
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Fax | 718-499-7088
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Provider Business Mailing Address
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Address Line | 258 6TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11215-2103
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Country | US
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Telephone | 718-768-3526
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Fax | 718-499-7088
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. LAURA MERYL REISLER
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Credential | M.S.
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Telephone | 718-768-3526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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