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General NPI Number Information
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NPI Number | 1780998583
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Entity Type | Organization
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Legal Business Name | MEDICAL & SURGICAL EAR NOSE &THROAT GROUP PA
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 5 FRANKLIN AVE #305
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-759-4005
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Fax | 973-759-1766
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Provider Business Mailing Address
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Address Line | 5 FRANKLIN AVE #305
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City | BELLEVILLE
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State | NJ
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Zip | 07109-3532
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Country | US
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Telephone | 973-759-4005
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Fax | 973-759-1766
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Authorized Official
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Title or Position | DOCTOR
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Name | ARTHUR ISSAC LESTER
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Credential | M.D.
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Telephone | 973-759-4005
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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 | 30234
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License Number State | NJ
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