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General NPI Number Information
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NPI Number | 1952401473
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Entity Type | Individual
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Provider Name | JOSEPH STEPHEN ANNESE D.O.
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 03/26/2015
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Provider Practice Location Address
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Address Line | 810 PLAZA BLVD
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City | LANCASTER
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State | PA
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Zip | 17601-2762
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Country | US
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Telephone | 717-394-5088
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Fax | 717-394-5590
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Provider Business Mailing Address
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Address Line | 810 PLAZA BLVD
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City | LANCASTER
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State | PA
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Zip | 17601-2762
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Country | US
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Telephone | 717-394-5088
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Fax | 717-394-5590
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | OS003548L
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License Number State | PA
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