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NPI 1912337403

NPI 1912337403 : BSE HEARING, INC. : ASTORIA, NY

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General NPI Number Information
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    NPI Number           |    1912337403
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    Entity Type          |    Organization 
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    Legal Business Name  |    BSE HEARING, INC. 
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Dates
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    Enumeration Date     |    11/19/2013
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    Last Update Date     |    11/19/2013
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Provider Practice Location Address
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    Address Line         |    3175 23RD ST 
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    City                 |    ASTORIA
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    State                |    NY
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    Zip                  |    11106-4134
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    Country              |    US
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    Telephone            |    718-956-2200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1953 GRAND AVE 
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    City                 |    NORTH BALDWIN
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    State                |    NY
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    Zip                  |    11510-2820
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    Country              |    US
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    Telephone            |    516-864-6298
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. STEPHEN HARRIS ASHINOFF 
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    Credential           |    OD
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    Telephone            |    516-864-6298
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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       |    15000010495
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    License Number State |    NY
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