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General NPI Number Information
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NPI Number | 1346598000
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Entity Type | Individual
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Provider Name | IRA DANANBERG BC-HIS
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Gender | Male
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3901 MAIN ST SUITE 206
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City | FLUSHING
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State | NY
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Zip | 11354-5432
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Country | US
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Telephone | 718-445-3333
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Fax | 718-445-6794
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Provider Business Mailing Address
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Address Line | 3901 MAIN ST. SUITE 206
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City | FLUSHING
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State | NY
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Zip | 11354-5435
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Country | US
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Telephone | 718-445-3333
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Fax | 718-445-6794
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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 | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 14000017941
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License Number State | NY
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