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General NPI Number Information
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NPI Number | 1760961940
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Entity Type | Organization
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Legal Business Name | NEW ENGLAND EAR NOSE & THROAT/FACIAL PLASTIC SURGERY,P.C.
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Dates
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Enumeration Date | 08/09/2018
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Last Update Date | 08/09/2018
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Provider Practice Location Address
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Address Line | 198 MASSACHUSETTS AVE STE 103
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-4143
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Country | US
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Telephone | 978-685-7550
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Fax | 978-686-5565
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Provider Business Mailing Address
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Address Line | 198 MASSACHUSETTS AVE STE 103
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City | NORTH ANDOVER
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State | MA
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Zip | 01845-4143
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Country | US
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Telephone | 978-685-7550
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Fax | 978-686-5565
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | COLLEEN BRIEN
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Credential | DO
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Telephone | 978-685-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number |
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License Number State |
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