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General NPI Number Information
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NPI Number | 1588723795
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Entity Type | Individual
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Provider Name | ANTHONY F PORTO JR. MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1010 CARONDELET ST # 121
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City | KANSAS CITY
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State | MO
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Zip | 64114
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Country | US
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Telephone | 816-941-6122
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Fax | 816-941-0880
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Provider Business Mailing Address
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Address Line | 1010 CARONDELET SUITE #121
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City | KANSAS CITY
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State | MO
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Zip | 64114
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Country | US
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Telephone | 816-941-6122
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Fax | 816-941-0880
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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 | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 6842
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License Number State | MO
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