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General NPI Number Information
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NPI Number | 1811023062
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Entity Type | Individual
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Provider Name | EVA BERO AU.D. CCC-A
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Gender | Female
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Dates
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Enumeration Date | 02/24/2007
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 11 HAMMOND LN STE C
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City | PLATTSBURGH
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State | NY
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Zip | 12901-2003
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Country | US
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Telephone | 518-562-0054
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Fax | 518-563-5518
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Provider Business Mailing Address
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Address Line | 10 MARSETT RD STE 3
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City | SHELBURNE
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State | VT
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Zip | 05482-7150
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Country | US
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Telephone | 802-922-9545
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Fax | 802-922-9546
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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 | 002312
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License Number State | NY
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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 | 002312
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License Number State | NY
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