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General NPI Number Information
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NPI Number | 1003091141
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Entity Type | Organization
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Legal Business Name | MONROE EAR, NOSE AND THROAT ASSOCIATES, P.C.
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 730 N MACOMB ST SUITE 320
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City | MONROE
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State | MI
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Zip | 48162-2900
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Country | US
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Telephone | 734-243-5020
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Fax | 734-457-1970
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Provider Business Mailing Address
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Address Line | 730 N MACOMB ST SUITE 320
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City | MONROE
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State | MI
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Zip | 48162-2900
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Country | US
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Telephone | 734-243-5020
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Fax | 734-457-1970
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AMDREW KARPENKO
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Credential | MD
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Telephone | 734-243-5020
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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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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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