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NPI 1891777066

NPI 1891777066 : KAREN L MCQUAIDE AUD : VOORHEES, NJ

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General NPI Number Information
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    NPI Number           |    1891777066
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN L MCQUAIDE AUD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/15/2005
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    Last Update Date     |    01/29/2019
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Provider Practice Location Address
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    Address Line         |    1001 SHEPPARD RD 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-4796
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    Country              |    US
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    Telephone            |    856-772-1617
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    Fax                  |    856-229-7850
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Provider Business Mailing Address
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    Address Line         |    1001 SHEPPARD RD 
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    City                 |    VOORHEES
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    State                |    NJ
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    Zip                  |    08043-4796
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    Country              |    US
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    Telephone            |    856-772-1617
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    Fax                  |    856-229-7850
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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       |    MD0001071
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    License Number State |    NJ
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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       |    41YA00036900
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    License Number State |    NJ
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