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General NPI Number Information
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NPI Number | 1134214612
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Entity Type | Individual
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Provider Name | ILENE L STERN AUDIOLOGIST, M.S.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 28 WEBSTER STREET
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City | MANCHESTER
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State | NH
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Zip | 03104
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Country | US
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Telephone | 603-634-4327
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Fax | 603-634-5052
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Provider Business Mailing Address
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Address Line | 31 WILSON RD
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City | CANTERBURY
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State | NH
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Zip | 03224
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Country | US
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Telephone | 603-783-4866
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Fax | 603-634-5052
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A115
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License Number State | NH
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