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General NPI Number Information
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NPI Number | 1952802563
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Entity Type | Organization
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Legal Business Name | HEARITE AUDIOLOGICAL CARE, PA
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 02/28/2018
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Provider Practice Location Address
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Address Line | 456 CHESTNUT ST UNIT 302
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City | LAKEWOOD
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State | NJ
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Zip | 08701-6124
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Country | US
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Telephone | 732-737-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 456 CHESTNUT ST UNIT 302
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City | LAKEWOOD
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State | NJ
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Zip | 08701-6124
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Country | US
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Telephone | 732-737-9555
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MINDY NEUSTADT
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Credential |
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Telephone | 732-737-9555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number | 1111
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License Number State | NJ
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