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General NPI Number Information
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NPI Number | 1659072221
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Entity Type | Organization
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Legal Business Name | COASTAL HEARING AIDS OF CONNECTICUT LLC
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 388 MAIN ST STE 1A
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City | MONROE
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State | CT
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Zip | 06468-1150
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Country | US
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Telephone | 475-231-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 388 MAIN ST STE 1A
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City | MONROE
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State | CT
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Zip | 06468-1150
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Country | US
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Telephone | 475-231-1010
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MS. WENDY COOKE
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Credential | HIS
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Telephone | 475-231-1010
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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 |
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License Number State |
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