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General NPI Number Information
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NPI Number | 1871935627
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Entity Type | Organization
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Legal Business Name | NORTHEAST HEARING LLC
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Dates
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Enumeration Date | 07/22/2013
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 210 MAIN ST STE 11B
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City | OLD SAYBROOK
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State | CT
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Zip | 06475-2333
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Country | US
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Telephone | 860-598-9943
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Fax | 860-598-9945
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Provider Business Mailing Address
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Address Line | 131 ENTERPRISE RD
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City | JOHNSTOWN
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State | NY
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Zip | 12095-3326
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Country | US
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Telephone | 518-736-2284
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Fax | 518-620-5727
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Authorized Official
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Title or Position | HEARING INSTRUMENT SPECIALIST
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Name | JASON FRASIER
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Credential |
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Telephone | 860-598-9798
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CT
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