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General NPI Number Information
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NPI Number | 1811089675
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Entity Type | Organization
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Legal Business Name | ENT ASSOCIATES, INC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 226 S WOODS MILL RD SUITE 37W
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3662
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Country | US
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Telephone | 314-523-5303
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Fax | 314-523-5703
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Provider Business Mailing Address
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Address Line | 226 S WOODS MILL RD SUITE 37W
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City | CHESTERFIELD
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State | MO
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Zip | 63017-3662
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Country | US
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Telephone | 314-523-5303
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Fax | 314-523-5703
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS MARIE LAWRENCE
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Credential |
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Telephone | 314-523-5303
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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