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General NPI Number Information
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NPI Number | 1710295795
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Entity Type | Organization
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Legal Business Name | CHRISTINE M. KENT AUDIOLOGIST PLLC
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 3475 HEMPSTEAD TPKE
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City | LEVITTOWN
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State | NY
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Zip | 11756-1411
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Country | US
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Telephone | 516-735-9191
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Fax |
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Provider Business Mailing Address
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Address Line | 3475 HEMPSTEAD TPKE
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City | LEVITTOWN
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State | NY
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Zip | 11756-1411
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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
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Name | DR. CHRISTINE KENT
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Credential | AU.D.
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Telephone | 516-735-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 2204-1
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License Number State | NY
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