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NPI 1376910091

NPI 1376910091 : DANIELLE ANAYA HAD : FLEMINGTON, NJ

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General NPI Number Information
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    NPI Number           |    1376910091
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    Entity Type          |    Individual 
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    Provider Name        |    DANIELLE ANAYA HAD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/28/2015
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    Last Update Date     |    03/22/2017
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Provider Practice Location Address
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    Address Line         |    361 ROUTE 31 UNIT 804 
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    City                 |    FLEMINGTON
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    State                |    NJ
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    Zip                  |    08822-5796
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    Country              |    US
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    Telephone            |    908-751-0445
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    Fax                  |    908-728-0396
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Provider Business Mailing Address
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    Address Line         |    361 ROUTE 31 UNIT 804 
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    City                 |    FLEMINGTON
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    State                |    NJ
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    Zip                  |    08822-5796
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    Country              |    US
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    Telephone            |    908-751-0445
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    Fax                  |    908-728-0396
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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        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    25MG00134200
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    License Number State |    NJ
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