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General NPI Number Information
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NPI Number | 1700039823
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Entity Type | Organization
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Legal Business Name | MICHAEL SETZEN OTOLARYNGOLOGY, PC
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 600 NORTHERN BLVD SUITE 312
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City | GREAT NECK
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State | NY
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Zip | 11021-5200
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Country | US
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Telephone | 516-829-0045
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Fax | 516-829-0041
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Provider Business Mailing Address
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Address Line | 600 NORTHERN BLVD SUITE 312
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City | GREAT NECK
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State | NY
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Zip | 11021-5200
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Country | US
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Telephone | 516-829-0045
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Fax | 516-829-0041
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Authorized Official
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Title or Position | MD
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Name | DR. MICHAEL SETZEN
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Credential | MD
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Telephone | 516-829-0045
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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 | 150950
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License Number State | NY
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