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General NPI Number Information
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NPI Number | 1912211038
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Entity Type | Organization
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Legal Business Name | SOUNDS GOOD AUDIOLOGY SERVICES PLLC
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Dates
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Enumeration Date | 07/30/2010
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | 11919 JAMAICA AVE
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City | JAMAICA
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State | NY
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Zip | 11418-2512
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Country | US
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Telephone | 917-751-8455
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Fax |
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Provider Business Mailing Address
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Address Line | 11919 JAMAICA AVE
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City | JAMAICA
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State | NY
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Zip | 11418-2512
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Country | US
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Telephone | 917-751-8455
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Fax |
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | TALLEY DABAKAROV
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Credential | AU.D. CCC-A
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Telephone | 917-751-8455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 0022151
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License Number State | NY
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