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General NPI Number Information
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NPI Number | 1639907934
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Entity Type | Individual
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Provider Name | SABINA ELIZABETH CIACCIO AUD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2024
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 128 MOTT ST STE 509
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City | NEW YORK
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State | NY
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Zip | 10013-5575
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Country | US
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Telephone | 212-966-3886
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Fax | 212-966-2886
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Provider Business Mailing Address
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Address Line | 1737 UNION AVE
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City | HEWLETT
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State | NY
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Zip | 11557-1829
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Country | US
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Telephone | 516-457-3027
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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 | 003267
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License Number State | NY
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