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General NPI Number Information
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NPI Number | 1639199961
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Entity Type | Individual
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Provider Name | FREDI JARMEL AUD
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Gender | Female
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Dates
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Enumeration Date | 07/20/2006
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Last Update Date | 02/11/2016
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Provider Practice Location Address
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Address Line | 1000 10TH AVE
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City | NEW YORK
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State | NY
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Zip | 10019-1147
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Country | US
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Telephone | 212-523-6815
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Fax | 212-523-8546
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Provider Business Mailing Address
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Address Line | 19907 19TH AVE
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City | WHITESTONE
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State | NY
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Zip | 11357-3312
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Country | US
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Telephone | 718-352-2130
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00070500
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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 | 000341-1
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License Number State | NY
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