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General NPI Number Information
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NPI Number | 1649540097
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Entity Type | Organization
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Legal Business Name | HUH EAR NOSE & THROAT, PLLC
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 125 SAINT NICHOLAS AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-4059
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Country | US
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Telephone | 718-756-9025
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Fax | 718-821-6444
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Provider Business Mailing Address
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Address Line | 2 LAKEVIEW DR
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City | GREAT NECK
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State | NY
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Zip | 11020-1618
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Country | US
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Telephone | 516-829-1801
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SUSAN HUH
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Credential |
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Telephone | 516-829-1801
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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 | 2014331
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License Number State | NY
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