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General NPI Number Information
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NPI Number | 1093849523
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Entity Type | Organization
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Legal Business Name | CHEST INFECTIOUS DISEASES & CRITICAL CARE CONSULTANTS GROUP INC
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 7311 GREENHAVEN DR STE 165
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City | SACRAMENTO
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State | CA
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Zip | 95831-3587
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Country | US
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Telephone | 913-733-6870
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Fax | 888-975-7611
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Provider Business Mailing Address
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Address Line | 7311 GREENHAVEN DR STE 165
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City | SACRAMENTO
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State | CA
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Zip | 95831-3587
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Country | US
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Telephone | 913-733-6870
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Fax | 888-975-7611
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MERRILY F WONG
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Credential |
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Telephone | 916-733-6870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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