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General NPI Number Information
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NPI Number | 1649248063
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Entity Type | Organization
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Legal Business Name | NORTH COAST ENT ASSOCIATES INC
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Dates
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Enumeration Date | 03/10/2006
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Last Update Date | 02/03/2009
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Provider Practice Location Address
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Address Line | 3770 JANES RD
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City | ARCATA
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State | CA
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Zip | 95521-4744
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Country | US
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Telephone | 707-822-5020
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Fax | 707-822-1969
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Provider Business Mailing Address
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Address Line | 3770 JANES RD
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City | ARCATA
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State | CA
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Zip | 95521-4744
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Country | US
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Telephone | 707-822-5020
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Fax | 707-822-1969
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | KRISTIN AVILA
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Credential |
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Telephone | 707-822-5020
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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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