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General NPI Number Information
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NPI Number | 1093374423
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Entity Type | Organization
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Legal Business Name | PULMEDIC INC
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Dates
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Enumeration Date | 06/10/2019
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 5250 SANTA MONICA BLVD STE 214
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City | LOS ANGELES
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State | CA
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Zip | 90029-1254
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Country | US
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Telephone | 323-922-6116
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 SANTA MONICA BLVD STE 214
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City | LOS ANGELES
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State | CA
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Zip | 90029-1254
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Country | US
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Telephone | 323-922-6116
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CHANTEL ILCEL CAMPOS
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Credential |
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Telephone | 323-922-6116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278P1004X
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Taxonomy Name | Pulmonary Diagnostics Certified Respiratory Therapist
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License Number |
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License Number State |
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