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General NPI Number Information
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NPI Number | 1942209655
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Entity Type | Organization
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Legal Business Name | EAR, NOSE & THROAT CONSULTANTS, INC
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 09/04/2014
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Provider Practice Location Address
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Address Line | 100 TRADECENTER SUITE 750
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City | WOBURN
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State | MA
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Zip | 01801-1851
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Country | US
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Telephone | 781-937-3001
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Fax | 781-937-3070
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Provider Business Mailing Address
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Address Line | 100 TRADECENTER SUITE 750
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City | WOBURN
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State | MA
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Zip | 01801-1851
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Country | US
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Telephone | 781-937-3001
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Fax | 781-937-3070
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY STUART BROWN
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Credential | M.D.
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Telephone | 781-729-8845
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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 |
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License Number State |
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