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General NPI Number Information
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NPI Number | 1295777845
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Entity Type | Organization
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Legal Business Name | HEADS AND FACES, INC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 481 MEMORIAL PKWY
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1574
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Country | US
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Telephone | 908-387-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 27 BLACKSMITH RD STE 200
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City | NEWTOWN
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State | PA
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Zip | 18940-1870
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Country | US
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Telephone | 215-497-1001
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Fax | 215-497-0490
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT M SACKMAN
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Credential | DO
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Telephone | 908-387-1300
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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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