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General NPI Number Information
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NPI Number | 1952636854
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Entity Type | Organization
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Legal Business Name | ADIRONDACK AUDIOLOGY ASSOCIATES HEARING AND BALANCE CENTER LLC
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 10 MARSETT RD STE 3
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City | SHELBURNE
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State | VT
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Zip | 05482-7150
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Country | US
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Telephone | 802-922-9545
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Fax | 802-922-9546
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Provider Business Mailing Address
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Address Line | 10 MARSETT RD STE 3
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City | SHELBURNE
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State | VT
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Zip | 05482-7150
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Country | US
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Telephone | 802-922-9545
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Fax | 802-922-9546
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Authorized Official
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Title or Position | AUDIOLOGIST/OWNER
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Name | KEITH P WALSH
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Credential |
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Telephone | 802-922-9545
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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 |
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License Number State | VT
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