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General NPI Number Information
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NPI Number | 1255431318
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Entity Type | Organization
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Legal Business Name | INTERSTATE HEARING AID SERVICE, INC.
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 45 LUDLOW ST SUITE 602
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City | YONKERS
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State | NY
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Zip | 10705-1947
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Country | US
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Telephone | 914-375-7591
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Fax | 914-375-2994
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Provider Business Mailing Address
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Address Line | 45 LUDLOW ST SUITE 602
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City | YONKERS
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State | NY
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Zip | 10705-1947
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Country | US
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Telephone | 914-375-7591
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Fax | 914-375-2994
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN H TREGLIA
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Credential |
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Telephone | 914-375-7591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 15000006959
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License Number State | NY
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