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General NPI Number Information
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NPI Number | 1629396874
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Entity Type | Individual
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Provider Name | RICHARD CIPOLLA H.I.S.
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Gender | Male
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Dates
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Enumeration Date | 05/12/2010
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 142 MARKET SQ
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City | NEWINGTON
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State | CT
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Zip | 06111-2913
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Country | US
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Telephone | 860-372-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 142 MARKET SQ
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City | NEWINGTON
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State | CT
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Zip | 06111-2913
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Country | US
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Telephone | 860-372-4040
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 000351
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State | CT
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