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General NPI Number Information
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NPI Number | 1912491028
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Entity Type | Organization
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Legal Business Name | CERTIFIED HEARING AID CARE
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 399 E MAIN ST
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City | MIDDLETOWN
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State | NY
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Zip | 10940-3420
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Country | US
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Telephone | 845-342-2227
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Fax | 845-342-2197
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Provider Business Mailing Address
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Address Line | 399 E MAIN ST
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City | MIDDLETOWN
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State | NY
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Zip | 10940-3420
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Country | US
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Telephone | 845-342-2227
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Fax | 845-342-2197
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Authorized Official
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Title or Position | OWNER/NYS HEARING AID DISPENSER
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Name | MRS. KIM KONDELKA CONTI
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Credential | NBC-HIS
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Telephone | 845-342-2227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 14000010089
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License Number State | NY
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