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General NPI Number Information
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NPI Number | 1447632328
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Entity Type | Organization
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Legal Business Name | EAR, NOSE AND THROAT ASSOCIATES, LLC.
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 900 SE OAK ST STE 201
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City | HILLSBORO
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State | OR
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Zip | 97123-4287
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Country | US
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Telephone | 503-648-8971
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Fax | 503-640-6461
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Provider Business Mailing Address
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Address Line | 900 SE OAK ST STE 201
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City | HILLSBORO
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State | OR
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Zip | 97123-4287
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Country | US
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Telephone | 503-648-8971
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Fax | 503-640-6461
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Authorized Official
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Title or Position | ADMINISTRATIVE MANAGER/PARTNER
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Name | DR. JON KIMBERLAY THIRINGER
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Credential | D.O.
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Telephone | 503-648-8971
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number |
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License Number State |
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