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General NPI Number Information
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NPI Number | 1326048836
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Entity Type | Organization
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Legal Business Name | EAR NOSE AND THROAT SPECIALISTS INC
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Dates
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Enumeration Date | 07/27/2005
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 3145 HAMILTON MASON RD SUITE 200
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City | HAMILTON
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State | OH
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Zip | 45011-8557
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Country | US
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Telephone | 513-874-0990
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Fax | 513-874-0998
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Provider Business Mailing Address
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Address Line | 3145 HAMILTON MASON RD SUITE 200
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City | HAMILTON
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State | OH
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Zip | 45011-8557
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Country | US
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Telephone | 513-874-0990
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Fax | 513-874-0998
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEIL HOWARD OKUM
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Credential | M.D.
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Telephone | 513-874-0990
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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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