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General NPI Number Information
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NPI Number | 1851658652
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Entity Type | Organization
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Legal Business Name | ENT HEARING ASSOCIATES OF SOUTH FLORIDA, INC
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 04/18/2012
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Provider Practice Location Address
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Address Line | 1601 CLINT MOORE RD SUITE 215
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City | BOCA RATON
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State | FL
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Zip | 33487-2768
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Country | US
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Telephone | 561-391-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 900 NW 13TH ST SUITE 206
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City | BOCA RATON
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State | FL
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Zip | 33486-2335
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Country | US
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Telephone | 561-338-3267
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Fax | 561-391-4420
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. WILLIAM MARK FLINTOFF
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Credential | MD
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Telephone | 561-939-0178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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