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General NPI Number Information
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NPI Number | 1891587432
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Entity Type | Organization
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Legal Business Name | LAKESIDE AUDIOLOGY AND HEARING SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/20/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 229 PARRISH ST STE 250A
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1795
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Country | US
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Telephone | 585-412-6967
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Fax |
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Provider Business Mailing Address
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Address Line | 229 PARRISH ST STE 250A
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1795
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Country | US
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Telephone | 585-412-6967
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAIGE MICHELE HELFER
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Credential | AU.D
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Telephone | 585-737-0663
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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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