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General NPI Number Information
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NPI Number | 1760514061
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Entity Type | Individual
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Provider Name | CRAIG T. BARTH M.A., CCC-A
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 230 SOUTH ST STE 1 BLAIR HOUSE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7700
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Country | US
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Telephone | 973-539-2111
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Fax | 973-539-0511
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Provider Business Mailing Address
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Address Line | 230 SOUTH ST STE 1 P.O. BOX 427
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City | MORRISTOWN
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State | NJ
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Zip | 07963-0427
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Country | US
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Telephone | 973-539-2111
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Fax | 973-539-0511
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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 | 41YA00011300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 25MG00053200
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License Number State | NJ
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