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General NPI Number Information
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NPI Number | 1376821835
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Entity Type | Individual
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Provider Name | RIVKA BORNSTEIN AUD
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Gender | Female
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/01/2011
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Provider Practice Location Address
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Address Line | 430 CEDARWOOD HALL
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City | VALHALLA
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State | NY
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Zip | 10595
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Country | US
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Telephone | 914-493-7294
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Fax |
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Provider Business Mailing Address
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Address Line | 217 BEACH 11TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-5544
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Country | US
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Telephone | 718-327-7194
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 0022961
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License Number State | NY
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