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General NPI Number Information
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NPI Number | 1013977552
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Entity Type | Organization
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Legal Business Name | THE OTOLARYNGOLOGY GROUP, P.C.
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 12/06/2007
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Provider Practice Location Address
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Address Line | 111 OLD ROAD TO 9 ACRE COR SUITE 490
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City | CONCORD
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State | MA
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Zip | 01742-4141
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Country | US
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Telephone | 978-371-1400
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Fax | 978-371-0246
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Provider Business Mailing Address
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Address Line | PO BOX 1807
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City | MERRIMACK
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State | NH
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Zip | 03054-1807
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Country | US
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Telephone | 603-673-9411
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Fax | 603-673-9899
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Authorized Official
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Title or Position | OWNER
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Name | DANIEL VOGEL
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Credential | M.D.
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Telephone | 978-371-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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