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General NPI Number Information
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NPI Number | 1407141070
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Entity Type | Individual
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Provider Name | ROSETTE RUTH REISMAN AUD
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Gender | Female
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Dates
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Enumeration Date | 06/12/2011
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Last Update Date | 06/15/2011
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Provider Practice Location Address
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Address Line | 688 WHITE PLAINS RD
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City | SCARSDALE
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State | NY
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Zip | 10583-5059
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Country | US
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Telephone | 866-530-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 9015 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-5932
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Country | US
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Telephone | 347-871-4217
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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 | 002333-1
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License Number State | NY
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