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General NPI Number Information
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NPI Number | 1548409683
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Entity Type | Organization
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Legal Business Name | TRI-STATE HEARING
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 2017 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-1606
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Country | US
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Telephone | 718-678-8227
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Fax | 718-678-8228
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Provider Business Mailing Address
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Address Line | 2017 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-1606
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Country | US
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Telephone | 718-678-8227
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Fax | 718-678-8228
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDWIN RYAN II
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Credential |
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Telephone | 718-678-8277
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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 | 15000017635
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License Number State | NY
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