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General NPI Number Information
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NPI Number | 1467363374
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Entity Type | Organization
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Legal Business Name | CLEAR SINUS ENT PLLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 215 E 96TH ST APT 19J
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City | NEW YORK
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State | NY
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Zip | 10128-3948
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Country | US
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Telephone | 347-460-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BLUE HILL PLZ STE 1509-24
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City | PEARL RIVER
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State | NY
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Zip | 10965-3104
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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 | OWNER
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Name | MATTHEW KIM
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Credential | MD
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Telephone | 818-307-7280
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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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