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General NPI Number Information
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NPI Number | 1326195165
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Entity Type | Organization
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Legal Business Name | B.J. ROTH & SONS, INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 555 BROADWAY
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City | BAYONNE
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State | NJ
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Zip | 07002-3829
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Country | US
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Telephone | 201-437-8900
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Fax | 201-437-0108
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Provider Business Mailing Address
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Address Line | 555 BROADWAY
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City | BAYONNE
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State | NJ
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Zip | 07002-3829
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Country | US
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Telephone | 201-437-8900
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Fax | 201-437-0108
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Authorized Official
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Title or Position | HEARING AID DISPENSER
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Name | MS. MARSHA ROTH
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Credential | BC-HIS
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Telephone | 201-437-8900
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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 | 25MG00074800
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License Number State | NJ
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