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General NPI Number Information
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NPI Number | 1689384885
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Entity Type | Organization
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Legal Business Name | RYD AUDIOLOGY PC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 9 E 62ND ST STE 1F
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City | NEW YORK
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State | NY
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Zip | 10065-8901
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Country | US
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Telephone | 212-301-7779
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Fax | 917-688-2525
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Provider Business Mailing Address
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Address Line | 9 E 62ND ST STE 1F
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City | NEW YORK
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State | NY
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Zip | 10065-8901
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Country | US
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Telephone | 212-301-7779
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Fax | 917-688-2525
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUFINA YAKUBOV
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Credential | AUDIOLOGIST
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Telephone | 718-490-7195
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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 |
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License Number State |
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