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General NPI Number Information
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NPI Number | 1235382078
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Entity Type | Organization
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Legal Business Name | DIGITAL AUDIOLOGY ASSOCIATES P C
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 04/21/2011
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Provider Practice Location Address
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Address Line | 7506 ELIOT AVE SUITE 5
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-1207
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Country | US
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Telephone | 718-938-4297
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Fax |
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Provider Business Mailing Address
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Address Line | 21 COLLINS AVE
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City | KINGS PARK
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State | NY
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Zip | 11754-2601
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Country | US
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Telephone | 718-938-4297
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH V MULRYAN
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Credential | AUDIOLOGIST
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Telephone | 718-938-4297
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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 | 001395
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License Number State | NY
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