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General NPI Number Information
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NPI Number | 1952335895
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Entity Type | Organization
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Legal Business Name | HAMPDEN HEARING SERVICES, INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 200 N MAIN ST NORTH BUILDING, SUITE 103
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2392
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Country | US
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Telephone | 413-525-7979
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Fax | 413-525-8303
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Provider Business Mailing Address
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Address Line | 200 N MAIN ST NORTH BUILDING, SUITE 103
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City | EAST LONGMEADOW
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State | MA
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Zip | 01028-2392
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Country | US
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Telephone | 413-525-7979
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Fax | 413-525-8303
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. SUSAN BANKOSKI CHUNYK
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Credential | AU.D.
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Telephone | 413-525-7979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 265
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License Number State | MA
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