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General NPI Number Information
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NPI Number | 1336194216
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Entity Type | Individual
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Provider Name | ANDREW ALEXANDER MACIELINSKI AU.D., F.A.A.A.
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 255 W LANCASTER AVE PAOLI MEM MED BLGD #2 - SUITE #224
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City | PAOLI
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State | PA
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Zip | 19301-1763
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Country | US
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Telephone | 610-647-3710
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Fax | 610-647-6851
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Provider Business Mailing Address
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Address Line | 11 INDUSTRIAL BLVD STE 102
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City | PAOLI
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State | PA
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Zip | 19301-1620
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Country | US
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Telephone | 610-647-3710
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Fax | 610-647-6851
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT001014-L
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License Number State | PA
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