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General NPI Number Information
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NPI Number | 1740965813
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Entity Type | Individual
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Provider Name | HALLE GRACE ROESSER AUD.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2023
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 1131 BROAD ST STE 103
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City | SHREWSBURY
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State | NJ
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Zip | 07702-4334
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Country | US
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Telephone | 732-389-3388
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Fax |
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Provider Business Mailing Address
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Address Line | 660 WHITE PLAINS RD FL 4
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City | TARRYTOWN
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State | NY
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Zip | 10591-5187
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Country | US
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Telephone | 914-333-5800
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AY2729
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License Number State | FL
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