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NPI 1962028530

NPI 1962028530 : ELISA ANN HOYOS AUD : SEWELL, NJ

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General NPI Number Information
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    NPI Number           |    1962028530
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    Entity Type          |    Individual 
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    Provider Name        |    ELISA ANN HOYOS AUD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/19/2020
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    Last Update Date     |    09/14/2023
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Provider Practice Location Address
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    Address Line         |    211 COUNTY HOUSE RD 
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    City                 |    SEWELL
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    State                |    NJ
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    Zip                  |    08080-2525
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    Country              |    US
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    Telephone            |    877-823-5230
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3900 WOODLAND AVE 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19104-4551
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    A-2765
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    License Number State |    NV
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