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General NPI Number Information
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NPI Number | 1821125998
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Entity Type | Organization
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Legal Business Name | OTOLARYNGOLOGY-HEAD & NECK SURGERY, LTD
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 294 W HIGHWAY 89A SUITE 102
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City | COTTONWOOD
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State | AZ
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Zip | 86326-3754
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Country | US
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Telephone | 928-649-7990
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Fax | 928-649-7989
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Provider Business Mailing Address
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Address Line | 294 W HIGHWAY 89A SUITE 102
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City | COTTONWOOD
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State | AZ
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Zip | 86326-3754
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Country | US
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Telephone | 928-649-7990
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Fax | 928-649-7989
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HOWARD STEPHEN FELDMAN
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Credential | M.D.
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Telephone | 928-649-7990
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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 | 11372
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License Number State | AZ
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