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General NPI Number Information
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NPI Number | 1396925053
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Entity Type | Organization
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Legal Business Name | EAR, NOSE & THROAT CENTER, LLP
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Dates
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Enumeration Date | 11/11/2007
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 32 STRAWBERRY HILL CT
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City | STAMFORD
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State | CT
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Zip | 06902-2594
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Country | US
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Telephone | 203-353-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 32 STRAWBERRY HILL CT
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City | STAMFORD
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State | CT
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Zip | 06902-2594
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | JASON KLENOFF
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Credential |
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Telephone | 203-353-0000
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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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