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General NPI Number Information
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NPI Number | 1063505386
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Entity Type | Organization
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Legal Business Name | COLUMBUS LUNG PHYSICIANS PLLC
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Dates
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Enumeration Date | 09/30/2006
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 425 HOSPITAL DR SUITE1
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City | COLUMBUS
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State | MS
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Zip | 39705-1901
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Country | US
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Telephone | 662-327-8455
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Fax | 662-327-8424
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Provider Business Mailing Address
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Address Line | 425 HOSPITAL DR SUITE1
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City | COLUMBUS
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State | MS
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Zip | 39705-1901
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Country | US
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Telephone | 662-327-8455
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Fax | 662-327-8424
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN G TAYLOR
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Credential | M.D.
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Telephone | 662-327-8455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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