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General NPI Number Information
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NPI Number | 1235388281
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Entity Type | Organization
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Legal Business Name | EAR, NOSE AND THROAT ASSOCIATES OF SAVANNAH, PC
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 04/01/2010
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Provider Practice Location Address
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Address Line | 5203 FREDERICK STREET
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City | SAVANNAH
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State | GA
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Zip | 31405-4501
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Country | US
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Telephone | 912-351-3030
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Fax | 912-351-3039
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Provider Business Mailing Address
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Address Line | 5201 FREDERICK STREET
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City | SAVANNAH
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State | GA
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Zip | 31405-4501
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Country | US
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Telephone | 912-351-3030
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Fax | 912-351-3039
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHY LAYNE
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Credential |
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Telephone | 912-629-4535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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