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General NPI Number Information
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NPI Number | 1487849261
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Entity Type | Individual
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Provider Name | DAWN W. PATRICK M.A., CCC/A
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Gender | Female
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 1206 DRIVING PARK AVE
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City | NEWARK
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State | NY
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Zip | 14513
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Country | US
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Telephone | 315-210-6570
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Fax |
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Provider Business Mailing Address
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Address Line | 1206 DRIVING PARK AVE
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City | NEWARK
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State | NY
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Zip | 14513-1057
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Country | US
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Telephone | 315-331-1313
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Fax | 315-331-5828
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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 | 001611
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License Number State | NY
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