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General NPI Number Information
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NPI Number | 1639178775
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Entity Type | Organization
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Legal Business Name | GARDEN STATE HEARING AND BALANCE CENTER, INC
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 250 RTE 37 W
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City | TOMS RIVER
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State | NJ
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Zip | 08755-8023
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Country | US
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Telephone | 732-818-3610
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Fax | 732-818-3663
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Provider Business Mailing Address
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Address Line | 250 RTE 37 W
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City | TOMS RIVER
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State | NJ
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Zip | 08755-8023
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Country | US
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Telephone | 732-818-3610
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Fax | 732-818-3663
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ISIDORE MICHAEL KIRSH
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Credential | PHD
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Telephone | 732-818-3610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 25MG00067800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 41YA00032200
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License Number State | NJ
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