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General NPI Number Information
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NPI Number | 1568595536
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Entity Type | Organization
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Legal Business Name | ALLEGHANY EAR, NOSE & THROAT PC
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 1 ARH LANE SUITE 103
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City | LOW MOOR
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State | VA
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Zip | 24457
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Country | US
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Telephone | 540-862-7269
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | CLIFTON FORGE
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State | VA
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Zip | 24422-0609
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Country | US
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Telephone | 540-862-7269
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Fax | 540-862-3381
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Authorized Official
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Title or Position | CORP SECRETARY
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Name | MRS. JOAN C. STRAUSBAUGH
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Credential |
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Telephone | 540-862-7269
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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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