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General NPI Number Information
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NPI Number | 1780232447
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Entity Type | Organization
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Legal Business Name | FINGER LAKES AUDIOLOGY, PLLC
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Dates
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Enumeration Date | 08/27/2019
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Last Update Date | 05/09/2022
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Provider Practice Location Address
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Address Line | 63 COLONIAL DR APT 3
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City | HORSEHEADS
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State | NY
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Zip | 14845-8603
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Country | US
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Telephone | 607-738-9293
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Fax |
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Provider Business Mailing Address
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Address Line | 63 COLONIAL DR APT 3
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City | HORSEHEADS
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State | NY
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Zip | 14845-8603
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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 | AUD
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Name | AMANDA SNELL
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Credential |
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Telephone | 607-738-9293
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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 |
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License Number State |
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