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General NPI Number Information
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NPI Number | 1285660506
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Entity Type | Organization
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Legal Business Name | HOT SPRINGS CLINIC OF OTOLARYNGOLOGY PA
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 04/19/2011
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Provider Practice Location Address
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Address Line | 307 CARPENTER DAM RD STE N
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8282
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Country | US
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Telephone | 501-624-5422
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Fax | 501-624-4602
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Provider Business Mailing Address
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Address Line | 307 CARPENTER DAM RD STE N
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City | HOT SPRINGS
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State | AR
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Zip | 71901-8282
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Country | US
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Telephone | 501-624-5422
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Fax | 501-624-4602
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIC D MONTE
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Credential | MD
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Telephone | 501-624-5422
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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 |
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License Number State |
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