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General NPI Number Information
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NPI Number | 1407749187
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Entity Type | Organization
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Legal Business Name | SOUND HAVEN HEARING LLC
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 2911 DIXWELL AVE STE B-3
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City | HAMDEN
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State | CT
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Zip | 06518-3130
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Country | US
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Telephone | 203-903-1715
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Fax | 475-298-1329
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Provider Business Mailing Address
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Address Line | 2911 DIXWELL AVE STE B-3
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City | HAMDEN
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State | CT
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Zip | 06518-3130
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Country | US
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Telephone | 203-903-1715
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROXANNE KOHILAKIS
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Credential | AU.D.
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Telephone | 203-675-5455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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