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General NPI Number Information
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NPI Number | 1841375987
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Entity Type | Organization
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Legal Business Name | ADVANTAGE ENT, LLP
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 7850 VANCE DR SUITE 225
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City | ARVADA
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State | CO
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Zip | 80003-2118
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Country | US
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Telephone | 303-431-8881
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Fax | 303-431-8564
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Provider Business Mailing Address
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Address Line | 7850 VANCE DR SUITE 225
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City | ARVADA
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State | CO
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Zip | 80003-2118
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Country | US
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Telephone | 303-431-8881
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Fax | 303-431-8564
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOHN EDWARD ZEAPHEY
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Credential |
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Telephone | 303-431-8881
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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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