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General NPI Number Information
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NPI Number | 1447232483
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Entity Type | Individual
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Provider Name | ELIZABETH A KENNEDY PHD
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Gender | Female
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 121 CLEMENTS BRIDGE ROAD
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City | BARRINGTON
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State | NJ
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Zip | 08007
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Country | US
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Telephone | 856-546-1535
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Fax | 856-546-6565
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Provider Business Mailing Address
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Address Line | 121 CLEMENTS BRIDGE ROAD
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City | BARRINGTON
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State | NJ
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Zip | 08007
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Country | US
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Telephone | 856-546-1535
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Fax | 856-546-6565
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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 | 41YA00009600
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License Number State | NJ
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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 | 25MG0004800
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License Number State | NJ
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