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General NPI Number Information
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NPI Number | 1871792523
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Entity Type | Organization
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Legal Business Name | HEARING ASSOCIATES OF GREENWICH LLC
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 100 MELROSE AVE STE 108
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City | GREENWICH
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State | CT
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Zip | 06830-6277
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Country | US
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Telephone | 203-629-4327
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Fax | 203-629-4326
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Provider Business Mailing Address
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Address Line | 100 MELROSE AVE STE 108
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City | GREENWICH
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State | CT
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Zip | 06830-6277
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Country | US
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Telephone | 203-629-4327
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Fax | 203-629-4326
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARY C WATTS
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Credential | MS
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Telephone | 203-629-4327
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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 | 000172
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License Number State | CT
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