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General NPI Number Information
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NPI Number | 1962766279
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Entity Type | Organization
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Legal Business Name | LANCASTER EAR NOSE AND THROAT LLC
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Dates
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Enumeration Date | 07/02/2012
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 930 RED ROSE CT SUITE 301
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City | LANCASTER
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State | PA
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Zip | 17601-1981
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Country | US
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Telephone | 717-517-9083
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Fax | 717-517-9243
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Provider Business Mailing Address
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Address Line | 930 RED ROSE CT SUITE 301
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City | LANCASTER
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State | PA
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Zip | 17601-1981
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Country | US
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Telephone | 717-517-9083
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Fax | 717-517-9243
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Authorized Official
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Title or Position | OWNER
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Name | DR. KAREN RIZZO
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Credential | MD
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Telephone | 717-517-9083
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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 | MD036713E
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License Number State | PA
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