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General NPI Number Information
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NPI Number | 1790195485
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Entity Type | Organization
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Legal Business Name | TOTAL ENT CARE LLC
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 733 W 40TH STREET SUITE 20
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City | BALTIMORE
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State | MD
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Zip | 21211-2107
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Country | US
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Telephone | 410-889-0795
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Fax | 877-766-8925
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Provider Business Mailing Address
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Address Line | 2329 WILLOW VALE DR
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City | FALLSTON
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State | MD
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Zip | 21047-1504
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Country | US
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Telephone | 410-889-0795
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HAN G. SOHN
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Credential | MD
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Telephone | 410-889-0795
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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 | D57335
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License Number State | MD
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