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General NPI Number Information
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NPI Number | 1386040053
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Entity Type | Organization
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Legal Business Name | JAMES PRONESTI AUDIOLOGY CONSULTANT PLLC
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Dates
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Enumeration Date | 11/07/2014
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Last Update Date | 04/26/2017
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Provider Practice Location Address
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Address Line | 9402 CHURCH AVE BOX 121058
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City | BROOKLYN
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State | NY
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Zip | 11212-1679
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Country | US
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Telephone | 203-997-6490
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Fax | 203-487-4490
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Provider Business Mailing Address
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Address Line | 9402 CHURCH AVE BOX 121058
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City | BROOKLYN
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State | NY
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Zip | 11212-1679
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Country | US
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Telephone | 347-525-4076
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Fax | 203-487-4490
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MR. JAMES VINCENT PRONESTI
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Credential | AUD
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Telephone | 203-997-6490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 000466
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 14000030167
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License Number State | NY
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