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General NPI Number Information
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NPI Number | 1457715948
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Entity Type | Organization
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Legal Business Name | ALLIANCE OTOLARYNGOLOGY AND FACIAL PLASTIC SURGERY LLC
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Dates
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Enumeration Date | 04/11/2016
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Last Update Date | 08/24/2018
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Provider Practice Location Address
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Address Line | 1 UNION ST SUITE 206
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691
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Country | US
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Telephone | 609-436-5740
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Fax | 609-436-5741
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Provider Business Mailing Address
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Address Line | 1 UNION ST SUITE 206
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City | ROBBINSVILLE
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State | NJ
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Zip | 08691-4219
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Country | US
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Telephone | 609-436-5740
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Fax | 609-436-5741
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Authorized Official
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Title or Position | MD/OWNER
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Name | SAMUEL SCOTT BECKER
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Credential |
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Telephone | 609-436-5740
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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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