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General NPI Number Information
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NPI Number | 1154308021
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Entity Type | Organization
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Legal Business Name | EASTERN SHORE ENT & ALLERGY
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Dates
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Enumeration Date | 12/30/2005
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 106 MILFORD ST SUITE 101
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City | SALISBURY
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State | MD
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Zip | 21804-6953
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Country | US
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Telephone | 410-742-1908
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MILFORD ST SUITE 101
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City | SALISBURY
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State | MD
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Zip | 21804-6953
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Country | US
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Telephone | 410-742-1908
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Fax |
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Authorized Official
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Title or Position | BILLING
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Name | CRYSTAL LEE ONEAL
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Credential |
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Telephone | 410-742-1567
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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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