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General NPI Number Information
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NPI Number | 1548696263
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Entity Type | Individual
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Provider Name | ARIELLA KHOSHBAKHSH
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Gender | Female
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Dates
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Enumeration Date | 09/26/2013
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Last Update Date | 09/26/2013
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Provider Practice Location Address
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Address Line | 420 LEXINGTON AVE SUITE 315
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City | NEW YORK
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State | NY
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Zip | 10170-0315
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Country | US
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Telephone | 212-867-6337
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Fax | 212-867-6506
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Provider Business Mailing Address
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Address Line | DEPT 3298
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City | CAROL STREAM
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State | IL
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Zip | 60132-3298
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Country | US
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Telephone | 561-478-8770
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Fax | 561-598-7231
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 14000035128
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License Number State | NY
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