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General NPI Number Information
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NPI Number | 1407722416
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Entity Type | Organization
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Legal Business Name | LIBERTY AUDIOLOGY OF NEW YORK PC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 412 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11203-2818
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Country | US
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Telephone | 718-833-5867
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Fax | 718-833-5866
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Provider Business Mailing Address
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Address Line | 412 LINDEN BLVD
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City | BROOKLYN
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State | NY
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Zip | 11203-2818
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Country | US
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Telephone | 718-833-5867
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Fax | 718-833-5866
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Authorized Official
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Title or Position | OWNER
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Name | JOHN WEIGAND
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Credential | AUD
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Telephone | 347-983-8918
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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 |
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License Number State |
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