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General NPI Number Information
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NPI Number | 1659426807
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Entity Type | Organization
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Legal Business Name | NEW HEARING AID CENTER OF GREEN ACRES
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12 GREEN ACRES RD
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1501
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Country | US
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Telephone | 516-791-8800
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Fax | 516-791-1167
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Provider Business Mailing Address
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Address Line | 12 GREEN ACRES RD
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City | VALLEY STREAM
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State | NY
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Zip | 11581-1501
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Country | US
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Telephone | 516-791-8800
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Fax | 516-791-1167
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Authorized Official
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Title or Position | AUDIOLOGIST
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Name | MR. SCOTT ANDREW CROHN
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Credential | M.A.
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Telephone | 516-791-8800
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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 | 15000006315
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License Number State | NY
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