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General NPI Number Information
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NPI Number | 1992014773
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Entity Type | Individual
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Provider Name | KELLY CALLARI
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Gender | Female
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 131 W BROAD ST
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City | ROCHESTER
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State | NY
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Zip | 14614-1103
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Country | US
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Telephone | 585-262-8651
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Fax | 585-263-3211
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Provider Business Mailing Address
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Address Line | 99 CATALPA RD
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City | ROCHESTER
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State | NY
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Zip | 14617-2906
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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 | 001535
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 14000002238
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License Number State | NY
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