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General NPI Number Information
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NPI Number | 1760579106
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Entity Type | Organization
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Legal Business Name | EAR NOSE & THROAT LTD
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 885 KEMPSVILLE RD STE 221
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City | NORFOLK
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State | VA
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Zip | 23502-3800
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Country | US
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Telephone | 757-623-0526
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Fax | 757-623-0609
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Provider Business Mailing Address
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Address Line | 885 KEMPSVILLE RD STE 221
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City | NORFOLK
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State | VA
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Zip | 23502-3800
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Country | US
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Telephone | 757-623-0526
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Fax | 757-623-0609
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN THOMAS KALAFSKY
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Credential | M.D.
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Telephone | 757-623-0526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number |
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License Number State |
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