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General NPI Number Information
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NPI Number | 1992358071
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Entity Type | Individual
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Provider Name | ALYSSA S BARZIDEH AU.D.
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Gender | Female
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 07/18/2019
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Provider Practice Location Address
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Address Line | 2975 WESTCHESTER AVE STE 202
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City | PURCHASE
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State | NY
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Zip | 10577-2500
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Country | US
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Telephone | 914-997-1743
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Fax |
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Provider Business Mailing Address
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Address Line | 2 BAY CLUB DR APT 19Y
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City | BAYSIDE
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State | NY
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Zip | 11360-2933
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Country | US
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Telephone | 631-513-6033
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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 |
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License Number State |
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