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General NPI Number Information
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NPI Number | 1255414967
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Entity Type | Organization
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Legal Business Name | ENT & ALLERGY CENTER, P.A.
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 8468 HERRING RUN RD
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City | SEAFORD
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State | DE
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Zip | 19973-5763
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Country | US
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Telephone | 302-629-3400
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Fax | 302-629-5300
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Provider Business Mailing Address
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Address Line | 8468 HERRING RUN RD
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City | SEAFORD
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State | DE
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Zip | 19973-5763
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Country | US
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Telephone | 302-629-3400
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Fax | 302-629-5300
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | CLAUDE J DIMARCO
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Credential | DO
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Telephone | 302-629-3400
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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 | C20003456
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License Number State | DE
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