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General NPI Number Information
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NPI Number | 1841365467
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Entity Type | Organization
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Legal Business Name | ADIRONDACK AUDIOLOGY ASSOCIATES, PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 144 BROADWAY STE 1
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City | SARANAC LAKE
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State | NY
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Zip | 12983-1486
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Country | US
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Telephone | 518-891-0487
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Fax | 518-891-6718
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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 | OWNER, AUDIOLOGIST
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Name | KEITH P. WALSH
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Credential | AU.D.
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Telephone | 802-922-9545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 15000006649
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License Number State | NY
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