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General NPI Number Information
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NPI Number | 1366699340
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Entity Type | Organization
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Legal Business Name | WESTCHESTER AUDIOLOGY, PLLC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/22/2008
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Provider Practice Location Address
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Address Line | 1 STONE PL SUITE 203
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City | BRONXVILLE
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State | NY
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Zip | 10708-3426
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Country | US
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Telephone | 914-337-0018
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Fax | 914-337-0541
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Provider Business Mailing Address
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Address Line | 1 STONE PL SUITE 203
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City | BRONXVILLE
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State | NY
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Zip | 10708-3426
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Country | US
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Telephone | 914-337-0018
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Fax | 914-337-0541
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Authorized Official
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Title or Position | OWNER/ AUDIOLOGIST
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Name | MS. NOEL THERESE THAYER
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Credential | MA, CCC-A
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Telephone | 914-337-0018
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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 | 001627-1
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License Number State | NY
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