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General NPI Number Information
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NPI Number | 1265653067
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Entity Type | Organization
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Legal Business Name | ACTION EAR ON CNY INC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 305 VINE ST
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City | LIVERPOOL
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State | NY
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Zip | 13088-5139
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Country | US
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Telephone | 315-457-2004
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Fax | 315-451-0900
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Provider Business Mailing Address
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Address Line | 305 VINE ST
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City | LIVERPOOL
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State | NY
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Zip | 13088-5139
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Country | US
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Telephone | 315-457-2004
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Fax | 315-451-0900
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Authorized Official
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Title or Position | VP
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Name | RICHARD ZACCARIA
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Credential |
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Telephone | 315-457-2004
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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 | 15000012984
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License Number State | NY
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