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General NPI Number Information
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NPI Number | 1679933014
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Entity Type | Organization
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Legal Business Name | PLACID AUDIOLOGY, PLLC
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Dates
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Enumeration Date | 02/27/2016
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Last Update Date | 02/27/2016
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Provider Practice Location Address
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Address Line | 2241 SARANAC AVE STE #4
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City | LAKE PLACID
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State | NY
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Zip | 12946-1107
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Country | US
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Telephone | 518-523-0090
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Fax |
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Provider Business Mailing Address
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Address Line | 1936 SARANAC AVE STE 108
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City | LAKE PLACID
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State | NY
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Zip | 12946-1114
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | KAREN M WOLFF
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Credential | AUD
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Telephone | 518-891-1739
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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 | 001368-1
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License Number State | NY
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