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General NPI Number Information
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NPI Number | 1588008056
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Entity Type | Organization
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Legal Business Name | A.S.F. HEARING AID CENTERS, INC.
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 1739 E MAIN ST
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1356
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Country | US
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Telephone | 914-214-8190
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Fax | 914-603-3966
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Provider Business Mailing Address
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Address Line | 1739 E MAIN ST
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1356
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Country | US
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Telephone | 914-214-8190
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Fax | 914-603-3966
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Authorized Official
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Title or Position | BOARD CERT. IN HEARING INSTRUMENT S
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Name | FRANK AVERSA
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Credential | BC-HIS
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Telephone | 914-214-8190
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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 | 14000015490
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License Number State | NY
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