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General NPI Number Information
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NPI Number | 1073574190
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Entity Type | Organization
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Legal Business Name | PEDIATRIC PULMONOLOGY AND SLEEP DISORDERS OF WNC, PA
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 131 MCDOWELL ST SUITE 203
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City | ASHEVILLE
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State | NC
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Zip | 28801-4453
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Country | US
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Telephone | 828-258-7060
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15268
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City | ASHEVILLE
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State | NC
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Zip | 28813-0268
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN CLARKE MCINTOSH
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Credential | M.D.
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Telephone | 828-258-7060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology 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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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