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General NPI Number Information
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NPI Number | 1538541206
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Entity Type | Individual
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Provider Name | FLORENCE A OTHIENO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 810 PLAZA BLVD
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City | LANCASTER
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State | PA
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Zip | 17601-2762
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Country | US
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Telephone | 173-945-0887
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Fax |
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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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 |
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Name |
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Credential |
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Telephone |
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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 | LL38431
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | D92290
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | MD486653
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | MD486653
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License Number State | PA
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