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General NPI Number Information
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NPI Number | 1184760191
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Entity Type | Individual
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Provider Name | ANN WALLIN M.S., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 447 77TH ST
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City | BROOKLYN
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State | NY
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Zip | 11209-3205
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Country | US
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Telephone | 718-745-2826
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Fax | 718-745-0040
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Provider Business Mailing Address
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Address Line | 251 LONGWOOD LN
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City | SOMERSET
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State | NJ
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Zip | 08873-6033
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Country | US
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Telephone | 732-271-0134
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Fax |
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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 | 00860
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 14000004612
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License Number State | NY
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