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General NPI Number Information
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NPI Number | 1972601326
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Entity Type | Individual
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Provider Name | JILL G. MAZUR M.A.
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 06/05/2015
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Provider Practice Location Address
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Address Line | 549 4TH ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1530
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Country | US
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Telephone | 716-282-4130
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Fax | 716-282-4133
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Provider Business Mailing Address
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Address Line | 549 4TH ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1530
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Country | US
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Telephone | 716-282-4130
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Fax | 716-282-4133
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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 | 1064
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 231HA2400X
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Taxonomy Name | Assistive Technology Practitioner Audiologist
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License Number | 15000000829
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 231HA2500X
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Taxonomy Name | Assistive Technology Supplier Audiologist
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License Number | 14000002100
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License Number State | NY
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