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General NPI Number Information
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NPI Number | 1447132014
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Entity Type | Organization
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Legal Business Name | ARCADIA EAR NOSE AND THROAT SPECIALISTS
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 49 E HUNTINGTON DR
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City | ARCADIA
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State | CA
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Zip | 91006-3210
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Country | US
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Telephone | 603-717-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 2111 S 2ND AVE
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City | ARCADIA
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State | CA
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Zip | 91006-4711
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Country | US
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Telephone | 603-717-2880
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT AND CFO
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Name | BRANDON LIBBY
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Credential | MD
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Telephone | 603-717-2880
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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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