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General NPI Number Information
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NPI Number | 1083781520
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Entity Type | Organization
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Legal Business Name | PULMONARY AND CRITICAL CARE ASSOCIATES PA
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 11/04/2011
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Provider Practice Location Address
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Address Line | 6400 FANNIN ST SUITE 2280
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City | HOUSTON
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State | TX
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Zip | 77030-1521
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Country | US
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Telephone | 713-795-5155
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Fax | 713-795-5515
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Provider Business Mailing Address
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Address Line | PO BOX 540088
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City | HOUSTON
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State | TX
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Zip | 77254-0088
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Country | US
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Telephone | 713-850-1190
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Fax | 713-850-1327
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIELA MORAN
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Credential | MD
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Telephone | 713-795-5155
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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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