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General NPI Number Information
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NPI Number | 1639754930
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Entity Type | Organization
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Legal Business Name | NEW YORK EAR NOSE AND THROAT INSTITUTE PLLC
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 02/09/2023
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Provider Practice Location Address
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Address Line | 1000 E HALLANDALE BEACH BLVD STE 1-102
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4433
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Country | US
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Telephone | 754-400-5959
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 VOORHIES AVE STE 1
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City | BROOKLYN
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State | NY
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Zip | 11235-3313
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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 | MD
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Name | DANIEL BRANOVAN
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Credential |
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Telephone | 718-616-1000
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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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