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General NPI Number Information
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NPI Number | 1386828382
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Entity Type | Individual
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Provider Name | CYNTHIA CAMPOS-MACKINS M.S.CCC-A
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Gender | Female
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 622 W 168TH ST NY PRESBYTERIAN HOSPITAL SPEECH&HEARING VC-10,DEPT D
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 622 WEST 168TH ST. NY PRESBYTERIAN HOSPITAL SPEECH&HEARING VC-10,DEPT D
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-4325
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 001242-1
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License Number State | NY
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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 | 14000004120
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License Number State | NY
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