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General NPI Number Information
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NPI Number | 1225644248
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Entity Type | Organization
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Legal Business Name | DANILOVA RUFINA YAKUBOV AUDIOLOGY HEARING PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 156 WILLIAM ST FRNT 1
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City | NEW YORK
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State | NY
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Zip | 10038-2609
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Country | US
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Telephone | 718-490-7195
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Fax |
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Provider Business Mailing Address
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Address Line | 156 WILLIAM ST FRNT 1
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City | NEW YORK
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State | NY
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Zip | 10038-2609
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Country | US
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Telephone | 718-490-7195
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | DR. RUFINA DANILOVA YAKUBOV
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Credential | AUD
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Telephone | 718-490-7195
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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 |
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License Number State |
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