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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI # | 1699810069 |
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| LBN Legal business name | EAR NOSE AND THROAT SURGICAL GROUP | ||||||||
| Authorized official | MICKEY WALLACE - (PHYSICIAN) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 02/21/2007 | ||||||||
| Last updated | 08/10/2011 - About 15 years ago | ||||||||
| Identifiers |
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EAR NOSE AND THROAT SURGICAL GROUP
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EAR NOSE AND THROAT SURGICAL GROUP