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General NPI Number Information
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NPI Number | 1831125574
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Entity Type | Organization
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Legal Business Name | SALISBURY EAR,NOSE & THROAT CLINIC, P.A.
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 315 MOCKSVILLE AVE
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City | SALISBURY
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State | NC
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Zip | 28144-3346
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Country | US
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Telephone | 704-637-3344
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Fax | 704-637-0118
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Provider Business Mailing Address
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Address Line | 315 MOCKSVILLE AVE
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City | SALISBURY
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State | NC
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Zip | 28144-3346
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Country | US
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Telephone | 704-637-3344
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Fax | 704-637-0118
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KEESHA B ALBRIGHT
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Credential |
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Telephone | 704-637-3344
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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 | 17741
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License Number State | NC
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