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General NPI Number Information
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NPI Number | 1083981328
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Entity Type | Individual
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Provider Name | MR. DARYLE SCOTT CONLIN
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Gender | Male
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Dates
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Enumeration Date | 11/30/2011
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 2440 RIVERFRONT CTR
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City | AMSTERDAM
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State | NY
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Zip | 12010-4612
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Country | US
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Telephone | 518-210-5440
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Fax | 518-843-3217
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Provider Business Mailing Address
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Address Line | 96 MINAVILLE ST
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City | AMSTERDAM
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State | NY
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Zip | 12010-5608
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Country | US
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Telephone | 518-210-5440
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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 | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 14000011872
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License Number State | NY
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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 | 14000011872
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License Number State | NY
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