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NPI Code Detail

MEDICARE: ELAINE SALEM MA/CCC-A

MEDICARE: ELAINE SALEM MA/CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistA01356OH

General Provider Information

NPI Number : 1871504480
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE SALEM MA/CCC-A
Provider Business Mailing Address
First Line : 10701 EAST BLVD
Second Line : AUDIOLOGY SERVICE 126W
City : CLEVELAND
State : OH
Zip : 44106-1782
Country : US
Telephone Number : 216-791-3800
Fax Number :
Provider Business Practice Location Address
First Line : 10701 EAST BLVD
Second Line : VAMC AUDIOLOGY SERVICE 126W
City : CLEVELAND
State : OH
Zip : 44106-1782
Country : US
Telephone Number : 216-791-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 07/08/2007

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Directions to “ ELAINE SALEM MA/CCC-A” Practice Location

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