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General NPI Number Information
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NPI Number | 1659583896
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Entity Type | Organization
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Legal Business Name | CAPE COD EAR NOSE AND THROAT SPECIALISTS HEAD AND NECK SURGERY PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/29/2008
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Provider Practice Location Address
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Address Line | 65 CEDAR STREET
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City | HYANNIS
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State | MA
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Zip | 02601-3009
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Country | US
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Telephone | 508-790-0611
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Fax | 508-790-0589
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Provider Business Mailing Address
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Address Line | 65 CEDAR STREET
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City | HYANNIS
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State | MA
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Zip | 02601-3009
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Country | US
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Telephone | 508-790-0611
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Fax | 508-790-0589
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Authorized Official
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Title or Position | PRESIDENT MD
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Name | EDWARD F CALDWELL
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Credential | MD
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Telephone | 508-790-0611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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