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General NPI Number Information
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NPI Number | 1144663691
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Entity Type | Organization
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Legal Business Name | SOUND AUDIOLOGY LLC
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Dates
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Enumeration Date | 04/15/2013
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Last Update Date | 04/15/2013
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Provider Practice Location Address
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Address Line | 215 ATLANTIC AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-3567
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Country | US
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Telephone | 516-238-5190
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Fax |
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Provider Business Mailing Address
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Address Line | 308 BEDELL ST
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City | OCEANSIDE
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State | NY
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Zip | 11572-1629
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Country | US
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Telephone | 516-238-5190
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. DONNA M RUBINO
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Credential | AUD
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Telephone | 516-238-5190
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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 | 001770
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License Number State | NY
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