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General NPI Number Information
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NPI Number | 1942384433
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Entity Type | Individual
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Provider Name | JEFFREY GARDNER NEAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 176 VALLEY ST W
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City | ABINGDON
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State | VA
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Zip | 24210-2836
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Country | US
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Telephone | 276-628-9547
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Fax | 276-628-8221
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Provider Business Mailing Address
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Address Line | P.O. BOX 1328 ABINGDON EAR, NOSE & THROAT ASSOCIATES, P.C.
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City | ABINGDON
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State | VA
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Zip | 29403-6645
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Country | US
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Telephone | 276-628-9547
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Fax | 276-628-8221
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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 | LL25434
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License Number State | SC
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