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General NPI Number Information
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NPI Number | 1407387889
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Entity Type | Organization
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Legal Business Name | THUNDER HEARING SERVICES LLC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 450 WILLIAM FLOYD PKWY STE B
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City | SHIRLEY
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State | NY
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Zip | 11967-3480
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Country | US
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Telephone | 631-830-4296
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Fax |
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Provider Business Mailing Address
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Address Line | 450 WILLIAM FLOYD PKWY STE B
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City | SHIRLEY
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State | NY
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Zip | 11967-3480
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Country | US
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Telephone | 631-830-4296
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LISA ROSELLI
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Credential |
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Telephone | 631-830-4296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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