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General NPI Number Information
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NPI Number | 1134459258
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Entity Type | Organization
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Legal Business Name | SANFORD HEIGHTS HEARING CENTER INC.
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 11/27/2013
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Provider Practice Location Address
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Address Line | 1984 SPRINGFIELD AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3437
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Country | US
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Telephone | 973-275-1006
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Fax | 973-275-1106
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Provider Business Mailing Address
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Address Line | 1984 SPRINGFIELD AVE
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City | MAPLEWOOD
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State | NJ
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Zip | 07040-3437
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Country | US
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Telephone | 973-275-1006
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Fax | 973-275-1106
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Authorized Official
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Title or Position | DIRECTOR
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Name | IRENE N OKEKE
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Credential | AUD
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Telephone | 973-275-1006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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