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General NPI Number Information
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NPI Number | 1902320138
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Entity Type | Individual
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Provider Name | LAURA ELIZABETH MAINELLI AU.D., CCC-A
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Gender | Female
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Dates
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Enumeration Date | 07/31/2017
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 954 MAIN ST
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City | BRANFORD
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State | CT
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Zip | 06405-7727
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Country | US
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Telephone | 203-481-0003
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Fax |
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Provider Business Mailing Address
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Address Line | 31 BROADWAY
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City | NORTH HAVEN
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State | CT
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Zip | 06473-2304
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Country | US
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Telephone | 860-402-3399
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Fax |
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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 | 000634
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License Number State | CT
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