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General NPI Number Information
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NPI Number | 1891958229
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Entity Type | Individual
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Provider Name | GREGORY ALLEN GARTH MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 895 STATE FARM ROAD SUITE 301
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City | BOONE
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State | NC
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Zip | 28607-4917
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Country | US
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Telephone | 828-265-4045
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Fax |
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Provider Business Mailing Address
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Address Line | 895 STATE FARM ROAD SUITE #301 BOONE REGIONAL EAR NOSE & THROAT ASSOCIATES PLLC
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City | BOONE
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State | NC
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Zip | 28607-4917
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Country | US
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Telephone | 828-265-4045
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Fax | 828-262-0960
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 200300154
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License Number State | NC
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