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General NPI Number Information
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NPI Number | 1871692996
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Entity Type | Organization
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Legal Business Name | ENT PHYSICIANS INC
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 4640 W ALEXIS RD
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City | TOLEDO
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State | OH
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Zip | 43623-1182
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Country | US
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Telephone | 419-474-9324
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Fax | 855-287-0160
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Provider Business Mailing Address
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Address Line | 4640 W ALEXIS RD
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City | TOLEDO
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State | OH
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Zip | 43623-1182
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Country | US
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Telephone | 419-474-9324
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Fax | 855-287-0160
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Authorized Official
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Title or Position | PRESIDENT
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Name | AFSER SHARIFF
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Credential | MD
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Telephone | 419-474-9324
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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 | 35044940
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License Number State | OH
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