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General NPI Number Information
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NPI Number | 1568521771
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Entity Type | Individual
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Provider Name | ROBERT N. FERGUSON MA, CCC
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 2001 5TH AVE ADVANCED AUDIOLOGY SERVICES
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City | TROY
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State | NY
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Zip | 12180-3340
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Country | US
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Telephone | 518-270-5802
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Fax | 518-270-5807
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Provider Business Mailing Address
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Address Line | 2 CHESTNUT HILL RD S
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City | LOUDONVILLE
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State | NY
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Zip | 12211-1608
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Country | US
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Telephone | 518-434-8174
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 000315
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License Number State | NY
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