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General NPI Number Information
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NPI Number | 1639650286
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Entity Type | Individual
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Provider Name | JONA HABERMAN AU.D
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Gender | Female
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 02/08/2019
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Provider Practice Location Address
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Address Line | 110 E 59TH ST RM 10A
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City | NEW YORK
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State | NY
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Zip | 10022-1359
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Country | US
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Telephone | 212-434-4582
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Fax |
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Provider Business Mailing Address
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Address Line | 3116 32ND ST APT 1C
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City | ASTORIA
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State | NY
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Zip | 11106-2500
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Country | US
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Telephone | 347-679-3102
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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 | 002819-1
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License Number State | NY
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