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General NPI Number Information
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NPI Number | 1598761421
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Entity Type | Individual
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Provider Name | ELLEN PFEFFER LAFARGUE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 50 BROADWAY 6TH FLOOR
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City | NY
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State | NY
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Zip | 10004-3810
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Country | US
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Telephone | 917-305-7751
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Fax | 917-305-7770
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Provider Business Mailing Address
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Address Line | 50 BROADWAY 6TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10004-1607
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Country | US
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Telephone | 917-305-7755
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Fax | 917-305-7819
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00043100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 000779-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 14000002858
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License Number State | NY
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