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General NPI Number Information
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NPI Number | 1013026228
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Entity Type | Organization
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Legal Business Name | EAR NOSE & THROAT CARE, PA
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 2448 W ILLINOIS AVE
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City | DALLAS
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State | TX
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Zip | 75233-1106
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Country | US
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Telephone | 214-330-7028
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Fax | 214-330-8497
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Provider Business Mailing Address
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Address Line | 2448 W ILLINOIS AVE
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City | DALLAS
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State | TX
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Zip | 75233-1106
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Country | US
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Telephone | 214-330-7028
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Fax | 214-330-8497
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Authorized Official
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Title or Position | PHYSICIAN/SECRETARY OF PA
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Name | LYNDA VISHER-WEST
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Credential | DO
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Telephone | 214-330-7028
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | H2880
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License Number State | TX
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