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General NPI Number Information
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NPI Number | 1104362821
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Entity Type | Organization
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Legal Business Name | PULMONARY AND CRITICAL CARE SOLUTIONS INC
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Dates
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Enumeration Date | 01/19/2017
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 8118 GOOD LUCK RD
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City | LANHAM
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State | MD
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Zip | 20706-3574
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Country | US
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Telephone | 614-886-3728
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1333
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City | LORTON
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State | VA
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Zip | 22199-1333
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | IZUCHUKWU A OBI
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Credential | MD
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Telephone | 614-886-3728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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