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General NPI Number Information
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NPI Number | 1841405511
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Entity Type | Organization
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Legal Business Name | FAMILY ENT AND ALLERGY ASSOCIATES
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16 POCONO RD SUITE 207
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City | DENVILLE
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State | NJ
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Zip | 07834-2901
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Country | US
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Telephone | 973-586-9323
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Fax | 973-586-1867
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Provider Business Mailing Address
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Address Line | 16 POCONO RD SUITE 207
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City | DENVILLE
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State | NJ
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Zip | 07834-2901
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Country | US
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Telephone | 973-586-9323
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Fax | 973-586-1867
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANCIS MICHAEL JAMPOL
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Credential | MD
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Telephone | 973-586-9323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | MA041301
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License Number State | NJ
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