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General NPI Number Information
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NPI Number | 1699953034
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Entity Type | Organization
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Legal Business Name | FREEHOLD EAR NOSE & THROAT ASSOCIATES, PA
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 04/11/2008
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Provider Practice Location Address
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Address Line | 222 SCHANCK RD SUITE200
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City | FREEHOLD
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State | NJ
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Zip | 07728-3068
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Country | US
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Telephone | 732-431-1666
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Fax | 731-431-1665
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Provider Business Mailing Address
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Address Line | 222 SCHANCK RD SUITE 200
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City | FREEHOLD
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State | NJ
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Zip | 07728-3068
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Country | US
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Telephone | 732-431-1666
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Fax | 731-431-1665
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ARUN S KUMAR
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Credential | MD
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Telephone | 732-431-1666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA02666400
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License Number State | NJ
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