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General NPI Number Information
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NPI Number | 1366444044
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Entity Type | Individual
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Provider Name | ANITA BEATRICE HARAVON PH.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1175 PARK AVE SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10128-1211
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Country | US
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Telephone | 212-996-2995
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Fax |
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Provider Business Mailing Address
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Address Line | 308 W 82ND ST #12B
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City | NEW YORK
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State | NY
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Zip | 10024-5344
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Country | US
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Telephone |
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Fax |
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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 | 001965-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00066500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 14000018441
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License Number State | NY
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