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General NPI Number Information
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NPI Number | 1912452079
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Entity Type | Organization
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Legal Business Name | EAR NOSE AND THROAT ASSOCIATES OF CHESTER COUNTY
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Dates
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Enumeration Date | 08/18/2016
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Last Update Date | 08/18/2016
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Provider Practice Location Address
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Address Line | 111 ARRANDALE BLVD
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City | EXTON
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State | PA
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Zip | 19341-2503
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Country | US
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Telephone | 610-879-0069
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Fax | 610-363-0210
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Provider Business Mailing Address
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Address Line | 111 ARRANDALE BLVD
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City | EXTON
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State | PA
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Zip | 19341-2503
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Country | US
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Telephone | 610-879-0069
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Fax | 610-363-0210
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DEANNA DIMASCIO
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Credential |
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Telephone | 610-363-2532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AT006464
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License Number State | PA
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