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General NPI Number Information
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NPI Number | 1114905148
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Entity Type | Organization
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Legal Business Name | THE EAR NOSE AND THROAT SURGICAL ASSOCIATES PA
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 01/08/2022
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Provider Practice Location Address
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Address Line | 133 BENMORE DR SUITE 100
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City | WINTER PARK
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State | FL
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Zip | 32792-4143
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Country | US
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Telephone | 407-644-4883
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Fax | 407-644-3697
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Provider Business Mailing Address
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Address Line | 133 BENMORE DR SUITE 100
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City | WINTER PARK
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State | FL
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Zip | 32792-4143
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Country | US
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Telephone | 407-644-4883
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Fax | 407-644-3697
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY LEHMAN
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Credential | MD
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Telephone | 407-644-4883
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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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