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General NPI Number Information
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NPI Number | 1497738231
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Entity Type | Organization
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Legal Business Name | ALLIED PHYSICIANS INC., D/B/A EAR, NOSE & THROAT SPECIALISTS
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2516 E DUPONT RD
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City | FORT WAYNE
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State | IN
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Zip | 46825-1608
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Country | US
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Telephone | 260-490-8422
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Fax | 260-490-5891
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Provider Business Mailing Address
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Address Line | 2516 E DUPONT RD
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City | FORT WAYNE
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State | IN
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Zip | 46825-1608
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Country | US
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Telephone | 260-490-8422
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Fax | 260-490-5891
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Authorized Official
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Title or Position | PHYSICIAN/EMPLOYEE
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Name | JOHN H. FALLON
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Credential | M.D.
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Telephone | 260-484-0919
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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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