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General NPI Number Information
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NPI Number | 1982638078
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Entity Type | Individual
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Provider Name | RANDI NICOLE TEPPER M.S.
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Gender | Female
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 05/12/2011
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Provider Practice Location Address
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Address Line | 380 2ND AVE 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10010-5615
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Country | US
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Telephone | 646-438-7832
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Fax |
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Provider Business Mailing Address
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Address Line | 157 E 57TH ST APT 10E
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City | NEW YORK
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State | NY
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Zip | 10022-2104
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Country | US
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Telephone | 845-548-9463
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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 | 001986
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License Number State | NY
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