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General NPI Number Information
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NPI Number | 1760338842
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Entity Type | Organization
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Legal Business Name | ENT FACULTY GROUP
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 201 E SAMPLE RD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-3502
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Country | US
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Telephone | 954-444-0668
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Fax |
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Provider Business Mailing Address
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Address Line | 2307 W BROWARD BLVD STE 201
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City | FT LAUDERDALE
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State | FL
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Zip | 33312-1420
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Country | US
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Telephone | 954-444-0668
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Fax | 954-541-2392
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | WILSON DUMORNAY
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Credential | MD
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Telephone | 954-675-4401
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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 |
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License Number State |
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