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General NPI Number Information
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NPI Number | 1649881061
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Entity Type | Individual
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Provider Name | MARIA PINA RAGONESE AUD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 14 COLUMBIA CIR
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City | ALBANY
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State | NY
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Zip | 12203-5152
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Country | US
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Telephone | 518-690-2060
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Fax |
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Provider Business Mailing Address
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Address Line | 123 EVERETT RD
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City | ALBANY
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State | NY
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Zip | 12205-1407
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Country | US
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Telephone | 518-229-7810
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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 | 002935
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License Number State | NY
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