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General NPI Number Information
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NPI Number | 1073525234
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Entity Type | Organization
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Legal Business Name | LAKEVIEW PULMONARY & SLEEP CONSULTANTS LTD
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 06/23/2014
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Provider Practice Location Address
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Address Line | 840 W IRVING PARK RD STE 305
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City | CHICAGO
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State | IL
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Zip | 60613-3011
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Country | US
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Telephone | 773-975-6775
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Fax | 773-975-1089
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Provider Business Mailing Address
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Address Line | 2180 DE COOK AVE
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City | PARK RIDGE
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State | IL
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Zip | 60068-1538
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Country | US
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Telephone | 773-505-3071
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VENKATA L BUDDHARAJU
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Credential | M.D.
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Telephone | 773-505-3071
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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 |
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License Number State |
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