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General NPI Number Information
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NPI Number | 1083700454
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Entity Type | Organization
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Legal Business Name | CENTER FOR LUNG AND SLEEP DISORDERS
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 01/03/2019
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Provider Practice Location Address
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Address Line | 1814 MCCALLIE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3025
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Country | US
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Telephone | 423-208-9030
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Fax | 800-875-1815
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Provider Business Mailing Address
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Address Line | 1814 MCCALLIE AVE
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3025
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Country | US
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Telephone | 423-208-9030
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Fax | 800-875-1815
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAVID GUAN
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Credential | M.D.
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Telephone | 423-208-9030
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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 | MD0000035362
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD0000035274
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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