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General NPI Number Information
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NPI Number | 1124428958
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Entity Type | Organization
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Legal Business Name | HEARING AID WORKS AUDIOLOGY PLLC
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Dates
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Enumeration Date | 08/29/2014
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Last Update Date | 09/02/2016
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Provider Practice Location Address
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Address Line | 2479 BROWNCROFT BLVD.
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City | ROCHESTER
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State | NY
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Zip | 14625-1431
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Country | US
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Telephone | 585-348-9886
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Fax | 585-485-0660
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Provider Business Mailing Address
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Address Line | 2479 BROWNCROFT BLVD.
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City | ROCHESTER
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State | NY
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Zip | 14625-1431
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Country | US
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Telephone | 585-348-9886
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Fax | 585-485-0660
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CAROLYNNE M POULIOT
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Credential | AU.D.
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Telephone | 585-507-5237
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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 | 002261
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License Number State | NY
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