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General NPI Number Information
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NPI Number | 1174825137
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Entity Type | Organization
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Legal Business Name | RARITAN VALLEY AUDIOLOGY, LLC
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Dates
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Enumeration Date | 11/24/2010
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 215 UNION AVE SUITE C
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-3063
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Country | US
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Telephone | 908-248-4327
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Fax | 908-573-5773
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Provider Business Mailing Address
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Address Line | 215 UNION AVE SUITE C
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-3063
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Country | US
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Telephone | 908-248-4327
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Fax | 908-573-5773
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Authorized Official
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Title or Position | PRESIDENT
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Name | FARAH M HUSSAIN-SAID
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Credential | AUDIO
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Telephone | 908-248-4327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 1155
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00078100
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License Number State | NJ
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