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General NPI Number Information
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NPI Number | 1063493492
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Entity Type | Organization
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Legal Business Name | MASSACHUSETTS ENT ASSOCIATES INC
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 321 BILLERICA RD STE 202
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City | CHELMSFORD
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State | MA
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Zip | 01824-4100
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Country | US
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Telephone | 978-256-5557
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Fax | 978-256-1835
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Provider Business Mailing Address
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Address Line | 321 BILLERICA RD STE 202
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City | CHELMSFORD
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State | MA
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Zip | 01824-4100
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Country | US
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Telephone | 978-256-5557
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Fax | 978-256-1835
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. VIJAY NAYAK
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Credential | MD
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Telephone | 978-256-5557
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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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