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NPI 1386709731

NPI 1386709731 : LAURIE F. DUFFY M.S. : WARWICK, RI

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General NPI Number Information
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    NPI Number           |    1386709731
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    Entity Type          |    Individual 
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    Provider Name        |    LAURIE F. DUFFY M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/26/2006
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    Last Update Date     |    03/06/2008
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Provider Practice Location Address
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    Address Line         |    200 TOLL GATE RD SUITE 203
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    City                 |    WARWICK
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    State                |    RI
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    Zip                  |    02886-4440
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    Country              |    US
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    Telephone            |    401-737-1760
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    Fax                  |    401-737-1740
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Provider Business Mailing Address
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    Address Line         |    65 ANN LN 
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    City                 |    NORTH KINGSTOWN
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    State                |    RI
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    Zip                  |    02852-2002
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    Country              |    US
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    Telephone            |    401-885-4377
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    Fax                  |    401-737-1740
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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       |    000070
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    License Number State |    RI
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Taxonomy #2
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    000070
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    License Number State |    RI
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