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General NPI Number Information
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NPI Number | 1295086031
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Entity Type | Organization
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Legal Business Name | AUDIOLOGY OF NASSAU COUNTY PLLC
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 165 N VILLAGE AVE SUITE 114
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3761
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Country | US
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Telephone | 516-764-2094
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Fax |
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Provider Business Mailing Address
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Address Line | 165 NORTH VILLAGE AVENUE SUITE 114
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570
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Country | US
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Telephone | 516-764-2094
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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. BARBARA ROSEN
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Credential | AU.D.
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Telephone | 516-764-2094
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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 | 000046
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License Number State | NY
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