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General NPI Number Information
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NPI Number | 1699887281
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Entity Type | Individual
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Provider Name | THOMAS G CARUSO BC-HIS
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 7760 ROUTE 417 E
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City | BOLIVAR
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State | NY
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Zip | 14715-9602
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Country | US
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Telephone | 585-648-0005
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4
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City | LAKEWOOD
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State | NY
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Zip | 14750-0004
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Country | US
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Telephone | 716-499-9109
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 14000007819
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number |
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License Number State |
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