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General NPI Number Information
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NPI Number | 1750370649
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Entity Type | Individual
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Provider Name | ELIZABETH MOORE CHIUSANO M.ED., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 39 NEWTON SPARTA RD STE 1C
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City | NEWTON
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State | NJ
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Zip | 07860-2773
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Country | US
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Telephone | 973-383-4100
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Fax | 973-383-4104
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Provider Business Mailing Address
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Address Line | 20 GOODALE RD
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City | NEWTON
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State | NJ
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Zip | 07860-2782
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Country | US
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Telephone | 973-579-3791
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Fax | 973-579-3984
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 25MG00097400
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00061500
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License Number State | NJ
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