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General NPI Number Information
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NPI Number | 1104977503
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Entity Type | Organization
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Legal Business Name | FINGER LAKES PROFESSIONAL HEARING AID SERVICES, INC.
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1206 DRIVING PARK AVE
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City | NEWARK
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State | NY
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Zip | 14513-1057
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Country | US
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Telephone | 315-332-0014
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 DRIVING PARK AVE
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City | NEWARK
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State | NY
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Zip | 14513-1057
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Country | US
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Telephone | 315-332-0014
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CAROL HENN-STAINO
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Credential | M.S.
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Telephone | 315-332-0014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 15000012273
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License Number State | NY
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