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General NPI Number Information
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NPI Number | 1629239934
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Entity Type | Organization
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Legal Business Name | WASSEARMAN, INC.
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Dates
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Enumeration Date | 06/19/2008
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 77 PONDFIELD RD GROUND LEVEL
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City | BRONXVILLE
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State | NY
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Zip | 10708-3809
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Country | US
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Telephone | 914-337-8348
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Fax |
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Provider Business Mailing Address
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Address Line | 77 PONDFIELD RD GROUND LEVEL
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City | BRONXVILLE
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State | NY
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Zip | 10708-3809
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Country | US
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Telephone | 914-337-8348
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Fax |
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. DAVID K WASSERMAN
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Credential | M.A. IN AUDIOLOGY
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Telephone | 914-337-8348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 14000011732
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License Number State | NY
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