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General NPI Number Information
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NPI Number | 1780742296
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Entity Type | Organization
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Legal Business Name | WOOSTER EAR NOSE AND THROAT
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1749 CLEVELAND RD
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City | WOOSTER
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State | OH
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Zip | 44691
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Country | US
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Telephone | 330-264-9699
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Fax | 330-264-9644
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Provider Business Mailing Address
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Address Line | 223 WOOSTER ST
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City | LODI
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State | OH
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Zip | 44254-1317
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Country | US
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Telephone | 330-948-9952
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. FRANCES M BEAN
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Credential |
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Telephone | 330-264-9699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A01327
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License Number State | OH
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