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General NPI Number Information
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NPI Number | 1023138369
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Entity Type | Organization
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Legal Business Name | MIDWEST PULMONARY AND CRITICAL CARE CONSULTANTS INC
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 777 CRAIG ROAD SUITE 130
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7133
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Country | US
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Telephone | 314-473-6183
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Fax | 314-552-7579
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Provider Business Mailing Address
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Address Line | 777 CRAIG ROAD SUITE 130
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City | SAINT LOUIS
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State | MO
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Zip | 63141-7133
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Country | US
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Telephone | 314-473-6183
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Fax | 314-552-7579
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | NADEEM AHMED
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Credential | MD
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Telephone | 314-473-6183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | R4P08
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License Number State | MO
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