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General NPI Number Information
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NPI Number | 1457705717
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Entity Type | Organization
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Legal Business Name | ADVANCED OTOLARYNGOLOGY & ALLERGY LLC
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 864 BROADWAY STE 101
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City | HANOVER
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State | PA
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Zip | 17331-1501
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Country | US
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Telephone | 717-632-5050
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Fax | 717-965-7519
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Provider Business Mailing Address
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Address Line | 864 BROADWAY
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City | HANOVER
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State | PA
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Zip | 17331-1501
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Country | US
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Telephone | 717-632-5050
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Fax | 717-965-7519
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Authorized Official
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Title or Position | MD
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Name | ZAHER SROUR
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Credential |
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Telephone | 717-632-2221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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