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NPI 1730210071

NPI 1730210071 : BELTONE HEARING CENTER OF NY : BLASDELL, NY

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General NPI Number Information
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    NPI Number           |    1730210071
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELTONE HEARING CENTER OF NY 
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Dates
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    Enumeration Date     |    03/08/2007
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    Last Update Date     |    09/23/2013
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Provider Practice Location Address
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    Address Line         |    3701 MCKINLEY PKWY 
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    City                 |    BLASDELL
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    State                |    NY
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    Zip                  |    14219-2695
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    Country              |    US
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    Telephone            |    716-826-0850
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    606 N FRENCH RD SUITE 1
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    City                 |    AMHERST
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    State                |    NY
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    Zip                  |    14228-2108
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    Country              |    US
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    Telephone            |    716-568-8061
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    Fax                  |    716-568-8062
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Authorized Official
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    Title or Position    |    MGR PARTNER
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    Name                 |     PATRICK  CHIP 
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    Credential           |    
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    Telephone            |    401-300-9512
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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       |    14000017187
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    License Number State |    NY
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