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General NPI Number Information
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NPI Number | 1679729396
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Entity Type | Organization
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Legal Business Name | ANDERSON ENT, INC
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 7691 FIVE MILE RD SUITE 215
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City | CINCINNATI
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State | OH
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Zip | 45230-4348
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Country | US
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Telephone | 513-624-6127
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Fax | 513-624-6142
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Provider Business Mailing Address
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Address Line | 7691 FIVE MILE RD. SUITE 215
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City | CINCINNATI
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State | OH
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Zip | 45230-4348
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Country | US
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Telephone | 513-624-6127
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Fax | 513-624-6142
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIANE M. SCHAINOST
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Credential |
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Telephone | 513-624-6127
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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 | 350 60254
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License Number State | OH
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