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General NPI Number Information
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NPI Number | 1548217102
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Entity Type | Individual
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Provider Name | EDWARD L ALEO PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 09/22/2011
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Provider Practice Location Address
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Address Line | 206 HENRY ST
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City | KINGSTON
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State | NY
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Zip | 12401-4844
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Country | US
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Telephone | 845-338-8686
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Fax | 845-339-4762
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Provider Business Mailing Address
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Address Line | PO BOX 406153
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City | ATLANTA
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State | GA
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Zip | 30384-4844
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Country | US
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Telephone | 845-338-8686
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Fax | 845-339-4762
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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 | 000058-1
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License Number State | NY
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