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General NPI Number Information
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NPI Number | 1508068149
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Entity Type | Organization
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Legal Business Name | ACOUSTICON BERGEN HEARING AID CTR
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 195 3RD AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-2126
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Country | US
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Telephone | 201-666-9161
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Fax | 201-666-9166
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Provider Business Mailing Address
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Address Line | 195 3RD AVE
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City | WESTWOOD
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State | NJ
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Zip | 07675-2126
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDMUND A DUHAIME
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Credential | BS HIS BOARD CERTIFI
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Telephone | 201-666-9161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 67
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License Number State | NJ
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