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General NPI Number Information
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NPI Number | 1730144197
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Entity Type | Organization
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Legal Business Name | HENDERSONVILLE EAR, NOSE & THROAT, P.A.
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 512 PARK HILL CT
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4265
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Country | US
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Telephone | 828-693-0706
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Fax | 828-693-5705
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Provider Business Mailing Address
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Address Line | 512 PARK HILL CT
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4265
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Country | US
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Telephone | 828-693-0706
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Fax | 828-693-5705
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RODNEY JAMES HAWK
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Credential | M.D.
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Telephone | 828-693-0706
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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 | 21660
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License Number State | NC
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