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General NPI Number Information
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NPI Number | 1538283288
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Entity Type | Organization
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Legal Business Name | TREASURE COAST EAR NOSE & THROAT PA
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 2221 SE OCEAN BLVD STE 300
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City | STUART
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State | FL
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Zip | 34996-3341
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Country | US
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Telephone | 772-220-8459
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Fax | 772-220-4733
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Provider Business Mailing Address
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Address Line | 2221 SE OCEAN BLVD STE 300
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City | STUART
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State | FL
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Zip | 34996-3341
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Country | US
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Telephone | 772-220-8459
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Fax | 772-220-4733
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL E SHARKEY
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Credential | MD
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Telephone | 772-220-8459
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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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