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General NPI Number Information
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NPI Number | 1467602813
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Entity Type | Organization
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Legal Business Name | BROOKLANDS AUDIOLOGY, INC
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 9 OLD LINCOLN HWY SUITE 103
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City | MALVERN
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State | PA
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Zip | 19355-2551
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Country | US
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Telephone | 610-408-9250
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Fax |
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Provider Business Mailing Address
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Address Line | 9 OLD LINCOLN HWY SUITE 103
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City | MALVERN
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State | PA
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Zip | 19355-2551
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Country | US
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Telephone | 610-408-9250
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PATRICIA A. A. COHEN
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Credential | M.A.,C.C.C.
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Telephone | 610-408-9250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | AT000887L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | AT000887L
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License Number State | PA
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