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General NPI Number Information
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NPI Number | 1093571127
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Entity Type | Organization
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Legal Business Name | MEDICAL PULMONARY ASSOCIATES PA
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 2929 N UNIVERSITY DR STE 107
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5047
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Country | US
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Telephone | 954-340-1992
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Fax | 954-340-1430
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Provider Business Mailing Address
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Address Line | 6610 N UNIVERSITY DR STE 120
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City | TAMARAC
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State | FL
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Zip | 33321-4000
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Country | US
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Telephone | 954-340-1992
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DOUGLAS WEINER
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Credential | MD
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Telephone | 954-340-1992
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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