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General NPI Number Information
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NPI Number | 1174773741
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Entity Type | Organization
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Legal Business Name | EAR NOSE AND THROAT SPECIALISTS OF FLORIDA PA
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 09/19/2008
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Provider Practice Location Address
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Address Line | 39 BARKLEY CIR
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City | FORT MYERS
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State | FL
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Zip | 33907-7531
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Country | US
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Telephone | 239-936-1616
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Fax | 239-936-2872
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Provider Business Mailing Address
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Address Line | 39 BARKLEY CIR
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City | FORT MYERS
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State | FL
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Zip | 33907-7531
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Country | US
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Telephone | 239-936-1616
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Fax | 239-936-2872
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SUZANNE LABONTE
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Credential |
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Telephone | 239-936-1616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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