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General NPI Number Information
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NPI Number | 1184943961
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Entity Type | Organization
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Legal Business Name | QUALITY OF LIFE HEARING SOLUTIONS
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Dates
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Enumeration Date | 05/19/2010
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Last Update Date | 05/19/2010
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Provider Practice Location Address
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Address Line | 96-05 QUEENS BLVD SEARS MIRACLE EAR
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City | REGO PARK
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State | NY
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Zip | 11374
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Country | US
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Telephone | 718-275-5954
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Fax | 718-275-5964
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Provider Business Mailing Address
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Address Line | 581 STATE ROUTE 17M
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City | MONROE
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State | NY
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Zip | 10950-3456
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Country | US
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Telephone | 845-238-5514
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Fax | 845-238-5516
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Authorized Official
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Title or Position | OWNER
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Name | MR. PAUL BOCHTERLE
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Credential | BC-HIS
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Telephone | 845-238-5514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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