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General NPI Number Information
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NPI Number | 1194180869
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Entity Type | Organization
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Legal Business Name | TEAM HEARING SWEDESBORO, LLC
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 300 LEXINGTON RD SUITE 220
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1278
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Country | US
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Telephone | 856-467-8777
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Fax |
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Provider Business Mailing Address
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Address Line | 300 LEXINGTON RD SUITE 220
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City | SWEDESBORO
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State | NJ
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Zip | 08085-1278
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Country | US
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Telephone | 856-467-8777
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. SAKINA JAFFARI
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Credential |
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Telephone | 85646787777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 25MG00093800
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License Number State | NJ
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