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General NPI Number Information
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NPI Number | 1144305475
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Entity Type | Organization
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Legal Business Name | SAINT BLAISE EAR NOSE AND THROAT PA
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 9936 US HIGHWAY 311
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City | ARCHDALE
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State | NC
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Zip | 27263-8826
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Country | US
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Telephone | 336-883-2765
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Fax | 336-883-9066
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Provider Business Mailing Address
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Address Line | 9936 US HIGHWAY 311
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City | ARCHDALE
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State | NC
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Zip | 27263-8826
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Country | US
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Telephone | 336-883-2765
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Fax | 336-883-9066
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM ARNOLD PINCUS
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Credential | MD
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Telephone | 336-883-2765
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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 |
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License Number State |
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