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General NPI Number Information
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NPI Number | 1114193851
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Entity Type | Organization
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Legal Business Name | PULMONARY AND SLEEP ASSOCIATES OF CAROLINAS LLC
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 834 W MEETING ST SUITE E
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City | LANCASTER
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State | SC
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Zip | 29720-6251
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Country | US
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Telephone | 803-283-3775
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Fax | 803-285-1538
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Provider Business Mailing Address
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Address Line | 834 W MEETING ST SUITE E
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City | LANCASTER
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State | SC
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Zip | 29720-6251
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Country | US
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Telephone | 803-283-3775
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Fax | 803-285-1538
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Authorized Official
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Title or Position | PULMONARY
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Name | DR. MATEEN AHMED
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Credential | MD
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Telephone | 803-283-3775
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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 | TL30671
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License Number State | SC
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