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General NPI Number Information
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NPI Number | 1174631733
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Entity Type | Organization
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Legal Business Name | CARLISLE EAR NOSE & THROAT ASSOCIATES
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 10/01/2013
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Provider Practice Location Address
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Address Line | 9 BROOKWOOD AVE
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City | CARLISLE
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State | PA
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Zip | 17015-9126
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Country | US
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Telephone | 717-243-0616
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Fax | 717-245-2351
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Provider Business Mailing Address
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Address Line | 9 BROOKWOOD AVE
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City | CARLISLE
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State | PA
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Zip | 17015-9126
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Country | US
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Telephone | 717-243-0616
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Fax | 717-245-2351
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD EDWARD FERRARO
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Credential | MD
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Telephone | 717-243-0616
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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 | MD073929L
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License Number State | PA
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