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General NPI Number Information
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NPI Number | 1598426975
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Entity Type | Organization
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Legal Business Name | CONNECT AUDIOLOGY PLLC
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 10/10/2022
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Provider Practice Location Address
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Address Line | 275 N MIDDLETOWN RD STE 1G-B
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City | PEARL RIVER
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State | NY
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Zip | 10965-1188
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Country | US
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Telephone | 845-320-5305
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Fax |
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Provider Business Mailing Address
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Address Line | 275 N MIDDLETOWN RD STE 1G-B
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City | PEARL RIVER
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State | NY
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Zip | 10965-1188
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Country | US
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Telephone | 845-507-3239
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SREEDIVYA PRADEEP
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Credential | PH.D
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Telephone | 845-320-5305
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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 |
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License Number State |
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